Post Midterm 5 Flashcards
Herbs that tonify yang primarily tend to go to what zang fu?
SP, KD, HT
Actions of herbs that tonify Yang
Support Qi transformation & Warms
General yang deficiency s/s
BRIGHT WHITE facial complexion, exhaustion, low voice, dislike of speaking, FEAR OF COLD, cold limbs, listless spirit, lack of thirst or preference for hot beverages, profuse clear urination or scant urine with edema, loose stool or diarrhea
yang deficient pulse and tongue?
tongue: pale puffy
pulse: deep, slow or weak
KD Yang Def s/s
GENERAL YANG DEF S/S: bright white facial complexion, exhaustion, low voice, dislike of speaking, fear of cold, cold limbs, listless spirit, lack of thirst or preference for hot beverages, profuse clear urination or scant urine with edema, loose stool or diarrhea
PLUS: sore weak back and knees, impotence, frigidity, spermatorrhea, infertility, watery vaginal discharge, polyuria, enuresis, wheezing, dry break (cock’s crow) diarrhea, delayed development or failure of fontanel to close
latin
Lu Rong
Cervi cornu pantotrichum
LU RONG
category
herbs that tonify the yang
LU RONG
Channels
Kd, Lv
properties
Lu Rong
sweet, salty, warm
LU RONG
Dosage
1-2g taken in pill or powder form, or chased with a strained decoction
contraindications
Lu Rong
- Heat from yin deficiency
- heat in the blood level
- phlegm-heat in the LU
- bloating ST fire
- warm heat pathogen disease
Fx & indications.
Lu Rong
Fortifies primal yang
Generates essence
Augments marrow
What animal is Lu Rong from?
Deer
What 4 extraordinary vessels does Lu Rong have an effect on?
For what kinds of indications?
Chong– Penetrating Vessels
Ren– Conception Vessels
Du– Governing Vessels
Dai mai– Girdle Vessels
PV, CV, DAI MAI:
- Def Cold causing: vaginal discharge, uterine discharge
- Cold womb infertility
GV:
- def essence/blood in children
- developmental d/o, mental retardation, rickets…
“_______ is the Mother of Qi, Qi is the ________ of Blood.”
What does it mean?
Blood is the Mother of Qi, Qi is the Commander of Blood.
They are co-existing elements, one cannot exist without the other & engender one another.
Herbs that nourish and tonify blood address two factors of the Blood. What are they?
Quality and quantity
The herbs nourish skin, hair, sinews, bones, channels and zang-fu.
SP, LV and HT all have a strong relationship with Blood. What are their FX related to blood.
SP Qi combines with LU Qi and KD Jing to produce blood. Weak SP Qi won’t produce good quality blood.
SP manages blood
LV stores blood
HT governs blood
- HT deficiency can’t pump blood and it can stagnate causing relative deficiencies in areas not receiving.
General Blood deficiency s/s
SP & LV: pallor to face, skin, nails, lips, under eyelids, almost orangey pale tongue body, sallow and tingling, spasms in muscles & sinews
LV: floaters, (flowery vision), dry eyes, early gray hair, scanty/absent menses, insufficient lactation, blood dryness can stir wind causing itchy dry skin, dizziness
HT: palpitations, poor memory, insomnia
PULSE: thin
Blood deficiency patients tend to show cold or heat signs?
cold
Can blood deficiency lead to blood stasis?
Yes
Can blood deficiency lead to internal wind?
Yes. Blood dryness can cause Wind to stir in the body.
Latin
Shu Di Huang
Rehmanniae radix preparata
category
Shu Di Huang
Herbs that tonify blood
SHU DI HUANG
Channels
HT, KD, LV
shao yin
properties
Shu Di Huang
sweet, slightly warm
SHU DI HUANG
Dosage
9-30g
contraindications
Shu Di Huang
CLOYING & RICH: readily causes stagnation of dampness and impedes digestion
- Qi stagnation and profuse phlegm
- Fullness and pain in the abdomen
- Reduced appetite
- Diarrhea
Fx & Ind
Shu Di Huang
TONIFY BLOOD - for blood def. w symptoms as facial pallor, dizziness, palpitations, insomnia; irregular menses, uterine bleeding, postpartum bleeding; best with no significant stagnation
ENRICHES YIN - weak lower back and limbs, dizziness, tinnitus, tidal fevers, night sweats, nocturnal emissions due to LV/KD yin def.
GENERATES ESSENCE by nourishes blood and tonifies essence - delayed development during childhood, blunted affect, premature aging, diminished mental acuity, greying of hair, impotence, memory loss
AUGMENTS MARROW & relieves wasting & thirsting d/o - lower burner wasting; can be used as stand-alone herb in large doses for this problem
How is Shu Di Huang prepared?
steam in wine/sugar and dried 9 times to make warmer and richer.
How can rich and cloying properties of Shu Di Huang have a negative effect when ingested?
It leads to stagnation of dampness and impedes digestion when not combined with digestives and herbs that build qi at the source.
Latin
Dang Gui
Angelicae sinensis radix
category
Dang Gui
Herbs that tonify the blood
DANG GUI
Channels
HT, SP, LV
properties
Dang Gui
Sweet, acrid, warm
DANG GUI
Dosage
4.5-15g
contraindications
Dang Gui
diarrhea or ab fullness d/t abundant dampness
Fx
Dang Gui
Tonifies blood & regulates menses
Invigorates/harmonizes blood & disperse cold
Moistens Intestines & unblocks bowels
Alleviates pain/ reduces swelling/ expels pus/ generates fluids
(Weak fx. - tx coughs as adjunctive herb)
Why is Dang Gui known as the “woman’s herb” in the tonify blood section? What types of situations can it treat?
tonifies blood and regulates menses – blood deficiency associated with irregular menstruation, amenorrhea and dysmenorrhea…
What’s in Si Wu Tang?
Chief: Shu Di Huang [Rehmanniae radix preparata] tonify blood (9-12g)
Deputy: Bai Shao [Paeoniae radix alba] tonify the blood (9-15g)
Assistant: Dang Gui [Angelicae sinensis radix] tonify the blood (9-12g)
Assistant: Chuan Xiong [Chuanxiong rhizoma] invigorate the blood (3-6g)
What is the main action of Si Wu Tang?
Tonifies blood/ Regulates LV
Which herb in Si Wu Tang is the most able to Tonify the blood due to its rich nature?
Shu Di Huang [rehmanniae radix preparata]
Which herb in Si Wu Tang is there to invigorate blood and prevent the formula from being too cloying?
Chuan Xiong [chuanxiong rhizoma]
Which herb in Si Wu Tang can both tonify and invigorate blood?
Dang Gui [angelicae sinensis radix]
Yin deficiency tends to show cold or heat signs?
B/c of this, Yin tonifying herbs tend to be ___________?
Heat
Cold & Sweet (moistening)
Yin Deficiency
Tongue & Pulse
T: red & peeled
P: thin & rapid
LU & ST Yin def tend to require fluid generation.
What are s/s of LU & ST yin def?
LU Yin Def: dry cough/throat/skin, voice loss, difficult expectorating sputum
ST Yin Def: L.o.A., dry mouth, thirst, constipation
KD & LV yin def often happen together.
What are s/s of KD & LV yin def?
LV YIN DEF: low grade fever, dry eyes, night blindness, tinnitus
- if LV yang rise: vertigo, tinnitus, insomnia, irritable
KD YIN DEF: afternoon fever, 5 center heat, sore/weak low back/knees, spermatorrhea, scanty dark urine, dizzy, tinnitus,
- T: red, dry
- P: thin w/out strength
HT Yin def is often treated w/ nourishing herbs to Calm Shen.
s/s of Ht Yin Def
Ht Yin Def: vexation, agitation, insomnia, palpitations
MAI MEN DONG
Category
Herbs that Tonify Yin
MAI MEN DONG
Latin
Ophiopogonis Radix
MAI MEN DONG
Channels
HT, LU, ST
MAI MEN DONG
Properties
Swt, S. Bitter, S. Cold
MAI MEN DONG
Contraindications
Loose stools from SP def (bc cold)
Turbid phlegm/thin mucus in Lu/St
Early stages of WC cough
MAI MEN DONG
Key Characteristics
Nourish yin of ST, SP, HT, LU
Clears heat
Quiets irritability
MAI MEN DONG
FX: Moistens Lu and nourishes Yin
Used whenever Lu Yin injured w:
- hacking dry cough
- cough w thick sputum that’s difficult to expectorate
- coughing up blood
MAI MEN DONG
FX: Augments ST yin and generates Fl
For dry tongue and mouth d/t insufficient ST Yin
MAI MEN DONG
FX: Moistens intestines
constipation, dry mouth, irritability
aftermath of febrile dz
any Yin def pattern
MAI MEN DONG
Clears heat and eliminates irritability
for irritability d/t Yin Def or Warm Heat patho dz at NUTRITIVE level.
- fever & irritability worsen at night
HERBS THAT STABILIZE & BIND
When are these herbs appropriate?
to stabilize loss of bodily substance
hold structures in place
HERBS THAT STABILIZE & BIND
Conditions treated
EXCESS sweating, diarrhea, urination, seminal emission, uterine bleeding, vaginal disgcharge, cough
MISCARRIAGE (can hold uterus), prolapse, weeping sores
HERBS THAT STABILIZE & BIND
Properties
Warm or Neutral
Sour/Astringent - holding
HERBS THAT STABILIZE & BIND
Channels
LU, KD, LI
also Lv, Sp
HERBS THAT STABILIZE & BIND
Contraindications
excess conditions, EPF, excess xie qi
– these conditions should be expelled, NOT held in
SHAN ZHU YU
Latin
Cornii Fructus
SHAN ZHU YU
Category
Herbs that Stabilize & Bind
SHAN ZHU YU
Channels
KD, LV
SHAN ZHU YU
Properties
Sour, S. Warm
SHAN ZHU YU
Dosage
6-12g
SHAN ZHU YU
Key Characteristics
Augments LV & KD
Secures Primal Qi
Prevents Abandonment
SHAN ZHU YU
Contraindications
urinary px/difficulty
damp heat
– don’t want to hold in
SHAN ZHU YU
FX: Stabilizes KD & secures Essence
Fl leak d/t weak essence
- s/s: urinary frequency, incontinence, spermatorrhea, excess sweat
SHAN ZHU YU
FX: Stops excess sweat & supports collapsed
Excess sweat c/b Devastated Yang & Collapsed Qi - (SHOCK)
For mistakenly inducing sweating
SHAN ZHU YU
FX: Tonifies & Augments LV & KD
LV & KD def s/s:
- lightheaded, dizzy, sore/weak low back/knees, impotence
tonifies essence and assists Yang
MAI MEN DONG
Most suitable when cause is…
patho Warm-Dry or Dry that transforms into Fire - (can cool LU)
SHAN ZHU YU
FX: Stabilizes menses & stops bleeding
excess uterine bleeding & menstruation c/b DEFICIENCY
note: this herb has weak effect on bleeding
