PRACTICE PROBLEMS - (case studies / DDx & formula)

Question 1

patient presentation….

chills and fever
headaches
gen. body aches
wheezing WITHOUT SWEATING

Tx THIN WHITE coat
Px floating, TENSE

Answer 1

=> wc WITHOUT SWEAT
EXCESSIVE exterior WC syndrome

Fx — Ma huang tang (w)

1. rel ext by SWEATING
2. unbind LU qi & stop wheezing

explanation…

ss DDx
chills and fever —-
headaches ———
gen. body aches— wei qi busy fighting wc to nour mus.
wheezing WITHOUT SWEATING —LU qi DD impaired

Tx THIN WHITE coat
Px floating, TENSE
- No sweat is a “normal” presentation of WC
- EXCESS condition “normal” presentatio of WC (ie. too much cold)
- along with thin white tongue coat (ind superficial & cold)
- and floating, TENSE pulse (ind path on superficies & cold)
- these herb a (w) nature meaning that are for cold synd’s

Question 2

chills and fever
headaches
gen. body aches
wheezing WITHOUT SWEATING

Tx THIN WHITE coat
Px floating, TENSE

syndrome?
Fx?
ingredients? caag? w or c? categorie?
rational / WHY choose this formula? (base on DDx)

Answer 2

EXCESSIVE exterior WC

Ma huang tang (w)

ch__ma huang __(w) [rel ext-spicy warm]
ad__gui zhi __(w) [rel ext-spicy warm]
as__xing ren* __(w) [phl/cough> cough]
gu__zhi gan cao __(w) [qi tonic]

rel ext by SWEATING
unbind LU qi & stop wheezing

rational / WHY choose this formula?….
ss
No sweat is a “normal” presentation of WC
along with thin white tongue coat (ind superficial & cold)
and floating, tense pulse (ind path on superficies & cold)
these herb a (w) nature meaning that are for cold synd’s

ma huang
- for rel ext by inducing sweat
*the main herb that induces sweat
- for unbinds LU qi & stops wheezing (as well for asthma)
due> WC obstructing LU qi

gui zhi
- for rel ext
helps ma huang

xing ren
- for wheezing
desc LU qi
wheezing due > impairment of LU desc function

zhi gan cao
- for harmonise others

Question 3

ch__ma huang———-(w) [rel ext-spicy warm]
ad__gui zhi ————–(w) [rel ext-spicy warm]
as__xing ren* ———–(w) [phl/cough> cough]
gu__zhi gan cao ——-(w) [qi tonic]

Fx
actions?
syndrome?
name?

Answer 3

1. rel ext by SWEATING
2. unbind LU qi & stop wheezing

EXCESSIVE exterior WC syndrome

Fx — Ma huang tang (w)