Post Midterm 4 Flashcards
Internal Cold can be Excess. What could create this situation?
DIET: Too many raw/cold foods, ice drinks
EPF Cold: entering organs
CHILDBIRTH: open for long periods in hospitals
What are some signs and symptoms of internal cold?
GENERAL: Aversion to cold, white facial complexion, pale tongue, glossy coat, slow pulse
PAIN: Bi, abdomen, epigastric
FLUID ACCUMULATION: damp phlegm, clear profuse urine, watery diarrhea (Sp) with undigested food (Kd)
Internal Cold can be from Deficiency. What in the patient is deficient to create this situation?
Yang is Deficient, Kidney is Deficient which in turn leads to a Deficient Spleen.
Why is fluid accumulation an issue with excess cold?
Deficient Yang leads to excess Yin. This causes Cold to congeal, leading to Qi Stagnation. This disrupts the metabolism of H2O.
What channels do they tend to direct towards? What 6 channel pair is most affected?
Ht, Kd, Sp (Lv)
HERBS THAT WARM INTERIOR/EXPEL COLD
What actions do these herbs promote?
1) Dispel interior pathogenic cold
2) Stimulate Yang Qi
Latin. Zhi Fu Zi
Aconiti Radix Lateralis Preparata
Category
Zhi Fu Zi
Herbs that Warm the Interior and Expel Cold
ZHI FU ZI
Channels
HT, KI, SP
Properties
Zhi Fu Zi
Acrid, Hot, Toxic
ZHI FU ZI
Dosage
3-15g;
BOIL 30-60 min before adding other herbs to REDUCE TOXICITY
contraindications
Zhi Fu Zi
People with yin deficiency and abundant yang
People with true heat and false cold
Pregnancy
Fx & Indications
Zhi Fu Zi
Revive devastated yang qi
Tonifies the fire at the gate of vitality [Ming Men]
Guides the actions of other herbs into all 12 channels
Expels cold-damp painful obstruction [KI yang deficiency]
Is Zhi Fu Zi toxic?
Yes, therefore it needs to be prepared at all times.
What are some general contraindications for Herbs that Warms the Interior and Expel Cold?
Heat, blood loss, yin deficiency, pregnancy
How is Zhi Fu Zi prepared?
Steamed
Why is it said to guide the actions of other herbs into the 12 channels?
It treats the whole body systemically.
It is contraindicated in situations of True Heat and False Cold. What does this mean?
When a body feels cold but tongue and pulse of a person show heat signs. It is so when there’s only enough yang to be distributed to organs but not enough yang for the rest of the body such as limbs.
Does Zhi Fu Zi directly tonify the Yang?
Yes, it tonifies KI+.
What do herbs that tonify the Qi primarily treat?
These primarily treat LU and SP.
What are some LU qi deficiency signs and symptoms?
SOB, shallow breathing, dyspnea on exertion, weak voice, pale complexion, spontaneous sweating.
What are some SP qi deficiency signs and symptoms?
Fatigue, lethargy, weak limbs, lack of appetite, abdominal distention, loose stools, general edema, prolapse
What is the gate of vitality?
Ming Men of KI
Is it always good to tonify? Explain.
No.
CAUTION: tonifying with presence of EPF can trap it in the body.
Tonifying herbs can feed and increase cancers, tumors, nodules, fibroids, etc.
What is the difference between Bai Ren Shen and Hong Shen?
BAI REN SHEN: White Ginseng
- sun dried
- mildly warm
- generates fluid/alleviates thirst
- Best w/ Qi Xu & Yin/Jin Ye Xu
HONG SHEN: Red Ginseng
- steamed and dried
- Warmer
- Tonifies Yuan Qi
- Best w/ Qi/Yang Xu
Which is warmer?
Bai Ren Shen and Hong Shen?
Hong Shen from Korea
Which is better to generate fluids?
Bai Ren Shen or Hong Shen?
Bai Ren Shen
Which can tonify the Yuan Qi?
Bai Ren Shen or Hong Shen?
Hong Shen
Which is best for Qi deficiency with Yin deficiency?
Bai Ren Shen or Hong Shen?
Bai Ren Shen because it generates fluids and alleviates thirst.
Which is better for Qi deficiency with Yang deficiency?
Hong Shen because it tonifies Yuan Qi.
Latin
Ren Shen
Ginseng radix
Category
Ren Shen
Herbs that tonify Qi
Properties
Ren Shen
Sweet, slightly bitter, slightly warm
REN SHEN
Channels
LU, SP (Tai Yin)
Caution/Contraindications
Ren Shen
EPF must first be cleared or will get trapped in body
Underlying stagnation must 1st be dealt w/
MUST be a deficiency condition (proper Dx)
Steaming bone disorder. Bleeding due to heat.
Ascendant LV yang or any condition due to fire from constraint.
Not good with high doses of caffeine or other stimulants.
REN SHEN
Dosage
3-9g
Fx & Indications
Ren Shen
Powerfully tonifies the primal qi of the five organs.
Nourishes the yin.
Revives from collapse, stops heavy bleeding.
In most cases, should Ren Shen be used when a person has a common cold? Why?
Not right away.
EPF must 1st be cleared.
Afterwards, Ren Shen can help rebuild qi and fluids that have been injured by high fever and profuse sweating.
Ren Shen can tonify qi and generate fluids. What are two situations, discussed in class, where Ren Shen would be appropriate to use?
After giving birth
After running marathon
Latin
Dang Shen
Codonopsitis Radix
Category
Dang Shen
Herbs that tonify qi
Properties
Dang Shen
Sweet, neutral
DANG SHEN
Channel
Lu, Sp
Contraindications
Dang Shen
Caution with EPF
DANG SHEN
Dosage
6-9g
Up to 30g can be used if needed
Fx & Indications
Dang Shen
Tonifies middle burner
Augments the SP and LU qi
Also used with herbs that release the ext or drain downward when the presentation includes significant qi deficiency
Dang Shen can be substituted for Ren Shen. Why? What do you have to change in terms of dosage?
Similar tonifying properties but does not generate fluids like Ren Shen. But Dang Shen is much cheaper.
Dosage: 3x more Dang Shen needed
Latin
Tai Zi Shen
Pseudostellariae Radix
TAI ZI SHEN
Channels
Lu, Sp
TAI ZI SHEN
Properties
Sweet, Slightly Bitter, Neutral
TAI ZI SHEN
Dosage
9-30g
TAI ZI SHEN
Latin
Pseudostellariae Radix
TAI ZI SHEN
Key Characteristic
Tonifies Qi & Yin, but weaker than Ren Shen or Dang Shen
TAI ZI SHEN
Contraindications
None
TAI ZI SHEN
What is it often used to treat.
Oncology & unrelenting fever or summer heat in children.
TAI ZI SHEN means “prince.” What age group does this herb treat?
Pediatric
It is also called “Ginseng Jr.” because it has similar, but much milder properties than Ren Shen.
BAI ZHU
Latin
Attractylodis Macrocephalae Rhizoma
BAI ZHU
Properties
Bitter, Sweet, Warm
BAI ZHU
Channels
Sp, St
BAI ZHU
Dosage
6-15g
BAI ZHU
Key Characteristicis
Tonifies SP
Dries Dampness
Quiets the fetus
BAI ZHU
Contraindications
Internal Heat from Yin def
Thirst from exhausted fl. (bc Bai Zhu is drying)
GAN CAO
Latin
Glycyrrizae Radix
BAI ZHU
Describe this Fx: Tonifies Sp & augments Qi
For Sp/St Def with s/s like: diarrhea, fatigue, sallow complexion, lack of appetite
BAI ZHU
Describe this Fx: Dries dampness & promotes H2O metabolism
For failure of Sp to T/T, leading to fluid accumulation affecting digestion, edema & reduced urination
Also, auxilary herb for Bi
BAI ZHU
Describe this Fx: Stabilizes exterior & stops sweating
Used in Yu Ping Feng San (Jade Screen Powder) to strengthen Wei Qi.
Also for spontaneous sweating d/t Qi def.
BAI ZHU
Describe this Fx: Calms the fetus
For restless fetus d/o, especially when d/t SP DEFICIENCY.
BAI ZHU
How does it stop sweating?
By strengthening the exterior
GAN CAO
Channels
All 12 channels (but primarily Lu, Sp, St)
GAN CAO
Properties
Sweet, Neutral
Dry Fried: Sweet, Warm
GAN CAO
Dosage
1.5-9g/15-30g
1.5-3g: Envoy
6-9g: tonify Sp, Lu
12g+: Ht Qi tonic
GAN CAO
Key Characteristics
Tonify Sp Qi
Moisten Lu
Moderates urgency/toxicity
Drains Fire
GAN CAO
Contraindications
Distention/fullness of chest/ab, vomiting from excess damp
Use Bai Zhu instead
SI JUN ZI TANG
What 4 herbs are in this decoction?
Ren Shen - chief
Bai Zhu - depty
Fu Ling - assistant
Zhi Gan Cao
GAN CAO
How is it prepared to moisten the Lu?
Honey Fried - makes it Sweet & Warm
GAN CAO
Describe Fx: Tonifies Sp & augments Qi
For Sp def w/ s.o.b., lassitude, loose stool
Also, Qi/Bld def w irregular pulse and/or palpitations
GAN CAO
Describe Fx: Moistens Lu
For cough/wheezing
Bc it is Neutral, can be used for Hot or Cold in LU for productive or non-productive cougs
GAN CAO
Describe Fx: Moderates spasm & alleviates px
For pxful spasm of abdomen and legs when combined with Bai Shao in preparations like Shao Yao Gan Cao Tang.
GAN CAO
Describe Fx: Clears Heat & resolves Fire toxicity
Used unprepared for carbuncles, sores & sore throat d/t FIRE TOXIN.
Can be taken internally or applied topically
Gan Cao is often used as an antidote for a variety of TOXIC substances.
GAN CAO
Describe Fx: Moderates & harmonizes characteristics of other herbs
It is used as an ENVOY in almost every formula.
It moderates hot/cold & mitigates harsh properties of other herbs
And since it enters all 12 channels, GAN CAO can lead other herbs into the channels
SI JUN ZI TANG
Action
Tonifies Qi & strengthens Sp
SI JUN ZI TANG
This is the basic formula to __________ __________.
Tonify Qi
TAI ZI SHEN
Is this herb as strong as Ren Shen?
No, it is fairly weak. But it generates Fluid without increasing heat.