Midterm Week 4

Question 0

What are qualities and characteristics of herbs that release the exterior?

Answer 0

pungent/spicy and acrid
light and ascending
often cooked for short periods of time
many cause diaphoresis

Question 1

Herbs that Release the Exterior are broken down into what 2 categories?

Answer 1

Warm/acrid that treats wind cold

Cool/acrid that treat wind heat

Question 2

What are the most common EPF factors treated with herbs that release the exterior?

Answer 2

six evils– wind, cold, fire, damp, dryness, summerheat

Question 3

Tai yang channel syndromes break down into two types.

What are they and what are their different names?

Answer 3

Cold– taiyang excess, wind cold excess
Wind– taiyang deficiency, wind cold deficiency, wind strike
water amassment and blood amassement – taiyang organ

Question 4

What is the most superficial of the six channels?

Answer 4

UB– taiyang channel that covers back and neck
; connects to mingmen to warm the superficial
; taiyang fu that related to inhibited urination due to accumulation of fluids in the lower jiao
LU– relation to wei qi; disperses fluids to the surface

Question 5

What are the general s/s and characteristics of a Wind Cold Excess pattern?

Answer 5

aversion to cold, fever(fighting causes heat) & chills(chills predominant), put on extra clothes and don’t feel better, headache, general aches and body pain, clear or white secretions, no thirst
pulse: floating and tight
tongue: normal body with thin, white coat
NO SWEAT

Question 6

What are the general s/s and characteristics of a Wind Cold Deficiency pattern?

Answer 6

Wei qi not as strong as in excess pattern, chills and fever but there is less fever than in excess pattern, chills still predominant, aversion to wind, pain and ache not so severe, clear or white secretions, sweating(pores open with loss of fluid and mild sweat), disharmony of yin and yang, edema(water metabolism problem), wind attack leads to LU qi dysfunction to Yang Shui or Yang Edema

pulse: floating and moderate
tongue: normal body with thin, white coat

Question 7

what are the general s/s and characteristics of a wind cold def. pattern?

Answer 7

meaning… wei qi not as strong as in excess pattern.
chills and fever, but here there’s less fever than in excess pattern (body is fighting but not as strong); chill still predominant; aversion to wind; pain and ache not so severe.
pathogen wins and gets a stronger foothold, affecting the muscle layer.
floating & moderate pulse
tongue: normal body with thin and white coat
clear or white secretions.
sweating (pores open with loss of fluid and mild sweat)
disharmony of yin and yang– fluid is lost.
edema; wind attack leads to LU qi def. (this leads to yang shui or yang edema)

Question 8

what is yang shui? how does it manifest?

Answer 8

wind attacks LU qi; dysfunctional LU not pushing fluids down.

Question 9

what are other conditions this herbs can address?

Answer 9

it is sometimes appropriate to use these herbs to treat cough and asthma, bi syndromes and skin conditions, especially if related to an ext. pathogenic ination.

Question 10

latin

ma huang

Answer 10

ephedrae herba

Question 11

category. channel. properties.

ma huang

Answer 11

warm acrid herbs that release the exterior
LU. UB.
acrid. slightly bitter. warm.

Question 12

c/i

ma huang

Answer 12

spontaneous sweating from ext. def.
night sweat with yin def.; KD def. asthma
not good for long term; hypertension

Question 13

key characteristics

ma huang

Answer 13

induces sweating.
calms wheezing.
promotes urination.

Question 14

what preparations were discussed of ma huang and what do they treat?

Answer 14

sheng ma huang (raw) induces sweating.

zhi ma huang (prep’d with honey) stops cough and asthma (but cannot use for def. asthma)

Question 15

latin

gui zhi

Answer 15

cinnamoni ramulus

Question 16

c/i

gui zhi

Answer 16

warm-heat pathogen disease.
yin def. with heat.
heat in the blood with vomiting.
small dose for pregnancy or excessive menstruation.

Question 17

category. channel. properties.

Gui Zhi

Answer 17

warm acrid that releases the exterior.
LU. UB. HT.
acrid. sweet. warm.

Question 18

key characteristics.

gui zhi

Answer 18

light & warm, releases the muscle layer.
unblocks yang qi.
warms the middle.

Question 19

what is the chief herb, deputy in ma huang tang?

Answer 19

chief: ma huang, WARE
deputy: gui zhi, WARE
other ingredients: xing ren, relieve cough and wheezing
zhi gan cao, tonigy qi

Question 20

what is the major action and pattern that are treated with ma huang tang?

Answer 20

action: releases the ext. and arrests wheezing.
pattern: exterior excess, wind cold.
indications: fever & chills (chills predominant) without sweating, h/a, general body aches, cough and wheeze, floating & tight pulse.

Question 21

what is the chief herb in gui zhi tang?

Answer 21

gui zhi, WARE
other ingredients: 
deputy: bai shao, tonify blood
assistant: sheng jiang, WARE
envoy: da zao, tonify qi
zhi gan cao, tonify qi

Question 22

what is the major action and pattern treated with gui zhi tang?

Answer 22

action: releases pathogenic influences from the muscle layer and regulates the ying and the wei qi.
pattern: ext. def., wind cold.
indications: fever & chills unrelieved by sweating, h/a, aversion to wind, stiff neck, nasal congestion, dry heaves, no particular thirst, a thin white and moist tongue coating, floating pulse that is either moderate or frail.

Question 23

what are some general s/s of wind heat?

Answer 23

wei qi level- the most superficial of the four levels from wen bing xue.
disease caused by heat enters through the mouth and nose.
fever & mild chills (fever dominant, more sweat), swollen red painful throat, thirst & dry throat & cough, h/a, body ache
yellow secretion, red eye (conjunctivitis), measles/rashes
pulse: floating & rapid
tongue: may have normal body, possible red tip or beginning to turn more red, thin yellow tongue coating

Question 24

what are the properties of the herbs used to treat wind heat?

Answer 24

acrid & cool herbs that can induce sweat but not as strongly as acrid & pungent warm herbs

Question 25

what channels do many of herbs that treat wind heat enter?

Answer 25

LU– superficial and controls the skin and pores

LV– heat symptoms, stagnation of LV qi, emotional symptoms, need to disperse and cool for free flow of qi

Question 26

latin

bo he

Answer 26

menthae haplocalycis herba

Question 27

category. channel. properties.

bo he

Answer 27

cool acrid herbs that release the exterior
LU. LV.
acrid, aromatic, cooling

Question 28

c/i

bo he

Answer 28

can deplete qi

not to be used in debilitated patients with profuse sweating or in those with ascendant LV yang

Question 29

key characteristics.

bo he

Answer 29

facilitates the dispersal of upper burner wind-heat.
cools and clears the eyes and head.
soothes the throat.
facilitates the flow of LV qi.
expels turbid filth.

Question 30

what is turbid filth?

Answer 30

uncleaned water and/or food

Question 31

what is the special concern in preparing bo he?

Answer 31

do not cook long.

decoct at the end for 5 to 10 min.

Question 32

latin.

chai hu

Answer 32

bupleuri radix

Question 33

category. channel. properties.

chai hu

Answer 33

cool, acrid herbs that release the exterior
GB. LV. PC. SJ.
bitter, acrid, cool

Question 34

key characteristics.

chai hu

Answer 34

treats alternating chills and fever.
releases heat in the muscle layer.
harmonizes shao yang stage disorders.
raises the clear qi of the ST and GB.
relieves LV qi constraint.

Question 35

c/i

chai hu

Answer 35

because it’s a rising and dispersing herb, it should not be used when the true win has been severely damaged, or with hyperactivity of LV yang.
DO NOT USE WITH INTERFERON.

Question 36

what are shao yang channels?

Answer 36

SJ. GB.

Question 37

what are the 2 types of chai hu preparation discussed?

Answer 37

sheng chai hu (raw)– relieves heat and ascends the yang.

zhi chai hu (frying with vinegar)– promotes qi to relieve LV qi stagnation.

Question 38

what are some typical shao yang s/s?

Answer 38

alternating fever and chills, dry throat, bitter or sour taste in the mouth, dizziness, irritability, sensation of fullness in the chest and hypochondria (can be felt as difficulty taking a deep breath), heartburn, nausea and vomiting, reduced appetite.