Post Midterm 1 Flashcards
What are the 3 categories of herbs from this lecture?
1) Herbs that Drain Dampness
2) Aromatic Herbs that Transform Dampness
3) Herbs that Dispel Wind-Dampness
In TCM, what are the 2 connotations of “Dampness?”
1) Fluid accumulation (Disharmony of H20 metabolism)
2) Damp-Heat (s/s: Heat & Stag)
HERBS THAT DRAIN DAMPNESS
What are the main actions of these herbs?
1) Promote H2O metabolism
2) Leach out dampness
How does dampness manifest in the body?
EXTERNAL: environmental/climatic factors, incorrect tx (using cold with cold or hot with hot)
INTERNAL: SP/ST malfunction
What are the most common signs and symptoms of dampness?
INTERNAL: digestive problems, distention in the chest, constipation or diarrhea, fever with no desire for food, thirst without desire for fluids
TONGUE: red tip and edges
TONGUE FUR white and slimy or thick yellow slimy
S/S of Damp Heat
Fever Px/Dribbling Urine Jaundice Damp Warmth Damp Sores
Do these herbs treat thin mucus or thick mucus?
water(shui) or thin mucus
HERBS THAT DRAIN DAMP
Many of these herbs are especially helpful in treating edema from which part of the body?
Below the waist &
Lower extremities
How do herb in this category remove dampness from the body?
SP fortifying, Yang freeing agent by enhancing SP ST transformation, spread of Yang Qi
latin name of Fu Ling
poria
Fu Ling is a ______ that grows on _______.
type of fungus, usually on pine trees
What channel does Fu Ling go into?
Tai Yin– LU, SP; Shao Yin– HT, KI
Fu Ling/Poria belongs to what category
herbs that drain dampness
What are recommended dosage of Fu Ling?
9-15g
What are properties of Fu Ling?
Sweet Bland Neutral
What are contraindications of Fu Ling?
Yin deficiency
Sunken SP Qi
Cold from deficiency with spermatorrhea
What are key characteristics of Fu Ling?
Tonifies the SP
Eliminates dampness
Calms the HT spirit
latin name of Fu Ling Pi
Poria Cutis
(4) Fx of Fu Ling
- promotes urination and leaches out dampness
- Strengthen the SP and harmonizes middle burner
- Strengthen the SP and transforms phlegm
- Quiets the HT and calms the spirit
latin name of Fu Shen
Poriae Sclerotium Pararadicis
What are special qualities of Fu Ling Pi?
- More diuretic than Poria (Fu Ling)
- Mobilizes the exterior to reduce subcutaneous edema.
- Promote urination and reduce edema WITHOUT exhausting the Qi
latin name of Chi Fu Ling
Poria Rubra
What are special qualities of Fu Shen?
- The innermost part of the fungus, around and including the root.
- Primarily for its spirit- calming effect.
What are the therapeutic qualities of Chi Fu Ling?
- Materia Medica: “can only DRAIN HEAT and mobilize water; it does not have the many actions of white poria.”
- Indications: scanty, dark urine or urinary difficulty.
What are the physical qualities of Chi Fu Ling?
- Grows closer to the root in white in color and is thus known as white poria; the outer skin is pinkish in color and known as red poria.
Amongst Fu Ling’s, what’s the strongest in promoting urination?
Fu Ling Pi
Fu Ling vs. Chi Fu Ling
White Poria enters Qi aspect; Red Poria enters Blood aspect
- White more strongly tonifies, Red is more facilitating.
- White: enriches HT/SP & calms HT spirit
- Red: eliminates water & damp, especially w blood stasis
Amongst Fu Ling’s, what’s the strongest in calming the spirit?
Fu Shen
Amongst Fu Ling’s, what’s the strongest in clearing HT heat?
Chi Fu Ling
What are indicated actions of Wu Ling San?
Promotes urination Drains dampness Strengthens the SP Warms the Yang Promotes the transforming fx of Qi
List (5) ingredients in Wu Ling San
Ze Xie, Fu Ling, Zhu Ling, Bai Zhu, Gui Zhi
Tai Yang ORGANS: Indication
Water amassment (UB), blood amassment (SI)
Tai Yang CHANNEL: Indications
Wind strike (WC Def), Cold damage (WC Ex)
What channels does Hou Po go to?
Tai Yin: LU, SP
Yang Ming: LI, ST,
AROMATIC/TRANSFORM DAMP
What are the characteristics of most herbs in this category?
acrid, warm, aromatic, drying
What are special functions of aromatic herbs that transform dampness?
Penetrates through turbidity & revives SP
Category for Hou Po:
Aromatic Herbs that Transform Dampness
AROMATIC/TRANSFORM DAMP
Caution for these herbs:
Yin deficiency (drying)
What are recommended dosage of Hou Po?
3-9g
AROMATIC HERBS THAT TRANSFORM DAMP
What are these herbs most effective at treating?
Dampness stagnating in Middle Jiao.
What are properties of Hou Po?
Bitter, acrid and warm
What are key characteristics of Hou Po?
- Regulates the QI and directs it downward
- Dispersing fullness
- Dries dampness
- Reduces phlegm
Latin name of Hou Po
Magnoliae officinalis Cortex
What is the general taste to drain damp?
Bland in taste; neutral to cool in temp
Hou Po
Caution/Contraindication:
caution during pregnancy
What is the formula for Draining Dampness?
Wu Ling San
What is the chief herb in Wu Ling San
Ze Xie
WU LING SAN
Which herb from Warm Acrid Release Exterior in this formula can help strengthen Yang?
Gui Zhi
HOU PO
What is the direction?
Downward
HOU PO
What condition requires caution and why?
Pregnancy
Promotes Qi downward
Damp stagnation in Middle Jiao - Indications:
Distension/Fullness in the Abdomen Nauesa, vomiting, spitting up sour fl. lack of thirst/appetite morning lethargy/grogginess joint stiffness diarrhea w difficulty defacating vaginal discharge
Damp Stagnation in Middle Jiao: Tongue & Pulse
TONGUE: greasy coat, white or yellow
PULSE: soggy, slippery, lax
Hou Po is contained in what formula?
Ping Wei San
PING WEI SAN
Actions:
Improve SP transport fx
Harmonizes ST
Dries dampness
Promotes Qi movement
What is Wind Dampness?
Painful obstruction (Bi) c/b Wind, Dampness & Cold
What is Bi?
obstruction
DISPEL WIND DAMP
Channels primarily treated:
Sp - for muscles
Lv - for tendons
Kd - for bones
DU HUO
Latin
Angelica pubescentis Radix
DU HUO
Category
Dispel Wind-Dampness
DU HUO
Channels entered:
KD, UB
DU HUO
Properties:
Bitter, Acrid, Warm
DU HUO
Key Characteristics
Tx pxful obstruction - lower body
Dispels Lurking Wind in Kd Channel
legs, knees, teeth
Major symptom of Wind Dampness:
painful joints
WIND DAMPNESS
What aggravates?
cold, damp weather
DU HUO
Can it be used to treat INTERNAL Wind?
No
DU HUO
Caution/Contraindication:
Drying - injures Yin
CAUTION: Yin/Blood Def
CONTRA: Internal Wind
WIND DAMPNESS
Wind predominates - Indications:
Migratory pain
WIND DAMPNESS
Damp predominates - Indications:
Feeling heavy/leaden
Swollen joints
WIND DAMPNESS
Cold predominates - Indications:
intense pain
cold limbs
Lurking Wind in Kd Channel s/s:
Pxful Obstr. of feet
aching heaviness of Low Back
Lurking Wind H/A
Swollen gums & Toothache