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