Midterm Week 5 Flashcards

1
Q

herbs that clear heat and drain fire deals with ______.
heat in which six channel stages?
heat in which of the four levels?

A

herbs that clear heat and drain fire deals with 4 bigs.
yang ming channel in six channel stages.
Qi level of the four levels.

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2
Q

4 bigs

A

fever, sweat, thirst, flooding/ rapid full pulse– all yang ming

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3
Q

4 levels

A

Wei level
Qi level
Nutritive level
Blood level

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4
Q

Wei level

A
treated by releasing the exterior (diaphoresis)
Wind-heat
Summer-heat
Damp-heat
Dry-heat
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5
Q

Qi level

A

treated by dispelling heat and promoting body fluids:
Lung heat (heat in chest and diaphragm)
Stomach heat
Intestines dry-heat
Gall-bladder heat (heat in the lesser yang)
Stomach and Spleen damp heat

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6
Q

Nutritive level

A

treated by cooling fire and tonifying the yin
Heat in Nutritive qi portion
Heat in Pericardium

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7
Q

Blood Level

A
Treated by tonifying the yin and qi and stopping bleeding.
Heat Victorious moves blood
Heat victorious stirs wind
Empty wind agitates in the interior
Collapse of yin
Collapse of yang
Separation of yin and yang (Death)
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8
Q

excess heat s/s

A

profuse sweat, fever with NO CHILLS, thirst, dry mouth.

pulse: full rapid/pounding pulse.
tongue: red body tongue with yellow tongue coat.

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9
Q

deficiency heat s/s

A

night sweats, hot flashes, mallar flush, 5 center heat, steaming bone disorder.

pulse: rapid, thin or deep.
tongue: red with peeling coat or no coat.

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10
Q

5 center heat

A

heat manifesting on the Yin surfaces of the body, such as the palms, bottom of the feet, and the chest

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11
Q

latin

shi gao

A

gypsum fibrosum

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12
Q

category. channel. properties.

shi gao

A

herbs that Clear Heat - Drain Fire
LU. ST.
sweet, acrid and VERY cold.

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13
Q

c/i

shi gao

A

cold from deficiency of SP and ST; fever from Yin deficiency;
weak digestive system– acid reflux, nausea, vomiting; sores, dry mouth, bleeding gums, toothache; palpitating heart, vexated heart, insomnia, tongue sores; red eyes due to liver

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14
Q

key characteristics

shi gao

A

VERY cold
excels at cooling LU and ST Fire
also dispersing to vent to the exterior and release the muscle layer.

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15
Q

what are some s/s of blazing stomach fire?

A

headache, toothache, swelling gums, bad breath, nasal problem…

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16
Q

why is the dosage of shi gao range higher than most?

A

dosage is 15-60g because it’s mineral; it is heavier.

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17
Q

latin

zhi mu

A

anemarrhenae rhizoma

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18
Q

category. channels. properties.

zhi mu

A

Clear heat and drain fire
LU. ST. KD.
bitter, sweet, cold

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19
Q

c/i

zhi mu

A

cold from deficiency of SP & ST.

diarrhea.

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20
Q

key characteristics.

zhi mu

A

clears fire.

nourishes the yin of the LU, ST, KD

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21
Q

what is dui yao?

A

the art and science of combining herbs.
common herb pairings– they do not always need to be used together, but due to the efficacy of their pairing, they often are used together.
i.e. ma huang and gui zhi,
shi gao and zhi mu.

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22
Q

what is xiao ke?

A

3 p’s
polydipsia– thirst.
polyphasia– super hungry.
polyuria– frequent urination.

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23
Q

which type of diabetes is xiao ke similar to?

how does it relate to the 3 jiaos?

A

diabetes type 1
3 jiao manifestations:
upper– thirsty being the main complaint– yin def. heat in the upper jiao affecting LU.
middle– hunger with weight loss– ST fire.
lower– KD yin damage causing frequent urination, especially at night and emaciations.

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24
Q

latin.

xi gua

A

citrulli fructus

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25
Q

category. channels. properties.

xi gua

A

clear heat and drain fire.
UB. HT. ST.
sweet, cold

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26
Q

c/i

xi gua

A

cold from def of the SP & ST

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27
Q

key characteristics.

xi gua

A

cools, moistens.

facilitates urination.

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28
Q

xi gua is known as ____________, since eating it can cool yang ming or qi level heat.

A

natural bai hu tang

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29
Q

what is the chief herb in bai hu tang? and what is its role?

A

shi gao– clears heat and drains fire.

30
Q

what is the deputy in bai hu tang and what is its role?

A

zhi mu– generates fluid

31
Q

what is the major action and pattern treated with bai hu tang?

A

clears qi level heat,
drains ST fire,
generates fluids, and
alleviates thirst.

32
Q

herbs that clear heat and COOL the BLOOD deal with heat in which Six Channel Stages?

A

shao yin– HT & KD.

33
Q

herbs that clear heat and COOL the BLOOD deal with heat in which two of the Four Levels?

A

ying and xue level

34
Q

what are some s/s of heat in ying and xue level?

A

Ying Level Heat: high fever WORSE AT NIGHT, mental restlessness, insomnia, manic speech, coma, beginning of skin rash,
- Tongue: red body with peeling yellow coat or peeled.

Xue Level: FRANK BLEEDING, skin rash,
- Tongue: red with prickles.

35
Q

what is the meaning of the term “reckless” movement of blood?

A

bleeding– rashes, nosebleeds, hemoptysis, vomiting blood

36
Q

latin.

shui niu jiao

A

bubali cornu

37
Q

category. channels. properties.

shui niu jiao

A

clear heat and Cool the Blood.
HT. LV. ST.
salty and cold.

38
Q

c/i

shui niu jiao

A

cold from def of the middle burner.

39
Q

key characteristics.

shui niu jiao

A

cools nutritive and blood level heat.
clears heat from the HT channel.
resolves toxic rashes and sores.
stops bleeding due to heat in the blood.

40
Q

latin.

sheng di huang

A

rehmanniae radix

41
Q

category. channels. properties.

sheng di huang

A

clear heat and Cool the Blood.
HT. KD. LV.
sweet, bitter, cold

42
Q

c/i

sheng di huang

A

where there is significant dampness from SP def.

In those with loose stools and abdominal fullness.

43
Q

key characteristics.

sheng di huang

A

enriches the yin.
cools the blood.
clears heat.

44
Q

herbs that clear heat and dry dampness treat damp heat patterns.
what are some damp heat s/s?

A

dysenteric disorders.
urinary difficulty or pain (lin syndrome).
jaundice.
damp heat skin disorders (furuncles and eczema).

45
Q

what taste and temperature are herbs that clear heat and dry dampness?

A

bitter and cold– can injure a weak MIDDLE jiao.

caution with SP and ST yang qi def. as well as yin and jin ye def. (too drying).

46
Q

from a biomedical standpoint many of the herbs that clear heat and dry dampness are

  1. anti_____
  2. anti_____
  3. anti_____
A

antimicrobial,
antipyretic, (fever)
anti-inflammatory

47
Q

latin.

huang qin

A

scutellariae radix

48
Q

from biomedical perspective, what are herbs that drain fire said to be?

A

anti-inflammatory,
antipyretic(reduce fever),
antimicrobial

49
Q

category. channels. properties. dosage

huang qin

A

clear heat and Dry Dampness
LU. ST. GB. LI
bitter, cold
dosage: 3-9g

50
Q

key characteristics.

huang qin

A

cools heat, dries dampness.
stops bleeding.
quiets the fetus in pregnancy.

51
Q

c/i

huang qin

A

cold from deficiency of the SP & ST

52
Q

how does huang qin stop bleeding?

A

it stops bleeding from clearing heat– for internal heat from excess causing blood to move chaotically.

s/s: vomiting or coughing of blood, nosebleed & blood in the stool.

53
Q

why is the fetus restless? how does huang qin calm the fetus?

A

when mom has excess heat, it creates uncomfortable environment for fetus. huang qin clears the heat, pacifies the womb for fetus.

54
Q

which jiao does huang qin primarily address?

A

upper jiao

55
Q

latin.

huang lian

A

coptidis rhizoma

56
Q

category. channels. properties.

A

herbs that clear heat and dry dampness.
HT. LI. LV. ST.
bitter, cold

57
Q

c/i

huang lian

A

caution in those with patterns of cold, yang def. or yin def., especially those with cold from def. of the SP & ST

58
Q

key characteristics.

huang lian

A
cools heat.
drains fire especially in the HT, ST.
dries dampness.
resolves toxicity.
Clears heat & stops bleeding
Clears heat topically.
59
Q

how does huang lian stop bleeding?

A

it clears heat and stops bleeding– for nosebleed or blood in the urine, stool, or vomit due to chaotic movement of hot blood.

60
Q

which jiao does huang lian primarily address?

A

middle jiao

61
Q

from which zang organ does huang lian drains fire in particular?

A

HT

62
Q

latin.

huang bai

A

phellodendri cortex

63
Q

category. channels. properties.

huang bai

A

herbs that clear heat and Dry Dampness.
KD. UB.
bitter, cold

64
Q

c/i

huang bai

A

cold from deficiency in the SP & ST

65
Q

key characteristics.

huang bai

A

directs fire downward.

clears damp-heat in the lower burner.

66
Q

which jiao does huang bai primarily address? and with what kinds of s/s?

A

lower jiao.
sx of yin def. such as steaming bone disorder, night sweats, afternoon fevers and sweating, sometimes accompanied by nocturnal emissions and spermatorrhea.
also effective for jaundice, hot-type dystenteric disorders resulting from damp-heat, vaginal discharge, turbid painful urinary dribbling, hemorrhoids, and hematuria.

67
Q

from which zang organ does huang bai drains fire?

A

KD

68
Q

are the “3 yellow”s used topically? for what types of situations?

A

1) huang qin– for heat patterns, hot sores and swellings.
2) huang lian–red, painful eyes and ulcerations for ulcerations of the tongue and mouth.
3) huang bai– for burns and eczema combined with duan shi gao

69
Q

what’s the main action of huang lian jie du tang and which jiao each herb addresses?

A

action: clears fire in all three burners.
indications: high fever, irritability, dry mouth & throat, insomnia, spitting of blood, epistaxis, toxic swellings such as carbuncles, furncles, other suppurative sores and deep rooted boils, damp heat jaundice, hot damp dysentery.
c/i: only with a patient with a strong constitution. NO LONG TERM.

70
Q

what are ingredients in huang lian jie du tang and which jiao does each herb address?

A

huang lian– middle jiao/HT– chief
huang qin– Upper jiao– deputy
huang bai– lower jiao
zhi zi (gardeniae fructus)– san jiao (connects all burners)