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CHIM 1 > Quiz 2 Pattern to Rx > Flashcards

Quiz 2 Pattern to Rx Flashcards

1
Q

Hypochondriac Pain: Blood Stasis

A

Fu Yuan Huo Xue Tang (UJ)
Ge Xia Zhu Yu Tang (LJ)

Sx: pain fixed and stabbing - worse at night (might be cancer)

ing: FYHXT: dang gui, tao ren, hong hua, shan jia, da huang, tian hua fen, chai hu, gan cao

GXZYT: dang gui, chuan xiong, tao ren, wu ling zhi, mu dan pi, wu yao, yan hu suo, zhi ke

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2
Q

Hypochondriac Pain: Damp Heat in LV/GB

A

Long Dan Xie Gan Tang
-used for 1000 yrs

Sx: acute condition - can be blood stasis or qi stagnation type pain or combo of both.

Damp heat Sx: bitter taste, jaundice, fullness, nausea vomiting, possible dry stools

ing: long dan cao, huang qin, zhi zi, mu tong, che qian zi, ze xie, chai hu, sheng di huang, dang gui, gan cao

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3
Q

Hypochondriac Pain: Insufficiency of LV Yin

A

Yi Guan Jian

Sx: dull pain, comes and goes, increases w fatigue/over exertion and decreases with relaxation

sheng di huang, gou qi zi, sha shen, mai men dong, dang gui, chuan lian zi

modifications: blurred vision, dizziness add JU HUA.
chuan lian zi is slightly toxic - can sub Mei Gua Hua, Fo Sou or Xiang Yuan to move liver and not dry

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4
Q

Headache: ext Wind Cold

A

Chuan Xiong Cha Tiao San

wind cold invasion blocking the channels causing stagnation of qi and blood. HA is NOT distending

bo he, chuan xiong, bai zhi, quiang huo, xi xin, jing jie, fang feng, gan cao (Lu Cha - green tea - can lower Bo He amount if using Lu Cha)

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5
Q

Headache: ext Wind Heat

A

Xiong Zhi Shi Gao Tang
- not in any books!

HA is distending

Chuan Xiong, Bai Zhi, shi gao, Ju hua
modification: add Bo He, more lifting

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6
Q

Headache: ext Wind Damp

A

Qiang Huo Sheng Shi Tang

HA w heavy sensation - like wet towel binding head

qiang huo, du huo, gao ben, fange feng, chuan xiong, man jing qi, zhi gan cao

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7
Q

Headache: LV Heat

A

Tian Ma Gou Teng Yin

HA w emotional stress, irritabiliyt, insomnia
if moving to LV Fire -> mauybe dizzy, flush face, red eyes

tian ma, gou teng, shi jue ming, zhi zi, huang qin, yi mu cao, chuan niu xi, du zhong, sang ji sheng, ye jiao teng, fu shen

modification: sub ze lan for yi mu cao (benefit the mother) if male patient

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8
Q

Headache: KD Def

A

Da Bu Yuan Jian

HA w empty sensations, ha is very close to Shao Yin HA - may also have dizziness plus DK def sx

ren shen, shan yao, shu di huang, shan zhu yu, dang gui, du zhong, gou qi zi, zhi gan cao

to tonify yuan qi you need to tonify qi, blod, yin, yang, jing - this Rx is not too warming - different approach to KD Yang def.

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9
Q

Headache: KD Def w ext WC

A

Ma Huang Fu Zi Xi Xin Tang

ha w very thin pulse and KD def Sx

Ma Huang, Fu Zi, Xi XIn *** all herbs banned

tai yang + shao yin combination - common combo pattern

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10
Q

Headache: Blood Deficiency

A

Si Wu Tang

HA w palpitations and blood def Sx

Shu DI Huang, Bai Shao, Dang Gui, Chuan Xiong
modifications: need HA specific herb: Ju Hua to raise to UJ and clear WH; Man Jing Zi - HA esp behind the eyes

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11
Q

Headache: Damp Phlegm

A

Ban Xia Bai Zhu Tian Ma Tang

HA w heavy sensations

Er Chen Tang plus Tian Ma and Bai Zhu and 3 Amigos: Ban Xia, Tian Ma, Bai Zhu, Ju Hong, Fu Ling, Gan CAl, Sheng Jiang, Da Zao

modification: increase sheng Jiang if vomiting/nausea

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12
Q

Headache: Blood Stasis

A

Tong Qiao Huo Xue Tang

HA w stabbing fixed pain - maybe history of trauma to head or tumor

chi shao, chuan xiong, tao ren, hong hua, cong bai, da zao, sheng jiang, (she xiang - no longer used, increase cong bai doseage)

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13
Q

Dizziness and Vertigo: arrogant LV Yang / LV Yang Rising

A

Tian Ma Gou Teng Yin

Dizziness and Vertigo with HA - worse w emotional stress and anger.

Tian Ma, Gou Teng, Shi Jue Ming, Zhi Zi, Huang Qin, Yi Mu Cao, CHuan Niu Xi, Du ZHong, Sang Ji SHeng, Ye Jiao Teng, Fu Shen

modification: underlying KD/LV def add Du ZHong Sang Ji Sheng

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14
Q

Dizziness and Vertigo: exhaustion of Qi and Blood Deficinecy

A

Ba Zhen Tang

dizziness vertigo WORSE after exertion - no irritability.
Qi def Sx + Bld Def Sx

Ren Shen, Bai Zhu, Fu Ling, Gan Cao +
shu di, bai shao, dang gui, chuan xiong

if INSOMNIA: Gui Pi Tang (Si Jun Zi Tang + Dang Gui Bu Xue Tang + Suan Zao Ren, Long Yan Rou, Yuan Zhi + Mu Xiang)

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15
Q

Dizziness and Vertigo: Insufficiency of LV/KD Yin

A

Zuo Gui wan
Zuo Gui Yin
You GUi Wan (KD Yang)

Dizziness/Vertigo w KD Def Sx

ZGW: more KD Yin def Sx
Shu Di, shan zhu yu, shan yao, fu ling, gou qi zi, gan cao, tu si zi, lu jiao jiao, gui ban, jiao, chuan niu xi

YGW: more KD Yang def Sx
shu di, shan xhu yu, shan yao, go qi zi, gan cao, du zhong, fu zi, rou gui, tu si zi, dang gui, lu jiao jiao

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16
Q

Dizziness and Vertigo: Phlegm Turbidity

A

Ban Xia Bai Zhu Tian Ma Tang

dizziness w HA

er chen tang plus Tian Ma, Bai zhu and 3 amigos: ban xia, tian ma, bai zhu, ju hong, fu ling, gan cao, sheng jiang, da zao

modification: if coat a little yellow add HUANG LIAN or HUANG QIN (3-6g)

17
Q

Hypochondriac Pain: LV Qi Stagnation

A

Chai Hu Shu Gan Tang

distending pain - not fixed - worse w stress/emotions

chai hu, xiang fu, chen pi, zhi ke, bai shao, chuan xiong, gan cao

if no hypo pain - only emotional stress, use: XIAO YAO SAN

CHSGT: Si Ni San + qi + blood movers (Xiang Fu, chuan xiong) Si Ni San regulates LV Qi with cold extremities.

Chai Hu + Bai Shao - dui yao to soothe LV

18
Q

Wind Stroke: Yang Closed Syndrome

A

Ling Yang Gou Teng Tang
An Gong Niu Huang Wan
Zhi Bao Dan

sudden LOC + falling down. HEAT condition, closed hands, locked jaw, flushed face, coarse breath (phlegm), no urino, constipation (orifices closed)

LYGTT: ling yang jiao, gou teng, sang ye, ju hua, bai shao, sheng di, chuan bei mu, zhu ru, fu shen, gan cao

AGNHW:acute condition, only half herbs still available to use - Niu Huang, she xiang, huang lian, huang qin, zhi zi, xiong huang, bing pian, yu jiu, zhu sha zhen zhu

ZBD: clears heat and opens orifices- Rx now modified to exclude toxic.endangered substances - shui niu jiao, niu huang, dai mao, bing pian, she xiang, an xi xiang, zhu sha, hu po, xiong huang

19
Q

Wind Stroke: Yin Closed Syndrome

A

Su He Xiang Wan
Di Tan Tang

sudden LOC + falling down - NO HEAT Sx- hands and feet very cold, phlegm white, incontinence of urine and feces

SHXW: similar to An Gong Niu Huang Wan but with NO heat clearing herbs - used in emergency conditions: su he xiang, she xiang, bing pian, an xi xiang, mu xiang, tan xiang, chen xiang, ru xiang, ding xiang, xiang fu, bi ba, shui niu jiao, zhu sha, bai zhu, he zi

DTT: modification for Su He Xiang Wan - Er Chen Tang + open orifices and qi regulating herbs - ban xia, chan pi, fu ling, zhu ru, shi chang pu, dan nan xing, zhi shi

20
Q

Wind Stroke: Abandonment Syndrome

A

Shen Fu Tang + Sheng Mai San

sudden LOC + Falling down - mouth open, no lock jaw, hands open and soft - no tension - def sweat, incontinence. TRUE COLD FALSE HEAT - flush face and cold body - this is severe

ren shen, fu zi , mai men dong, wu wei zi

21
Q

Wind Stroke: Stroke of the Channels due to Wind Pathogens entering the Emptiness of the Channels

A

Da Qin Jiao Tang

hemiplegia w numbness, deviated mouth/eyes, slurred speech, phlegm, excess saliva, aversion to cold

qin jiao, gan cao, chuan xiong, dang gui, bai shao, xi xin, qiang huo, fang feng, huang qin, shi gao, bai zhi, bai zhu, sheng di, shu di, fu ling, du huo.

complex condition = complex formula

has Si Wu Tang to nourish blood

22
Q

Wind Stroke: Deficiency of LVKD Yin w/ Turbulent Wind Yang

LV/KD yin w Sudden LV Yang Rising

A

Zhen Gan Xi Feng Tang

elderly population - Hemiplegia w dizziness, tinnitus, blurred vision, insomnia, achy back/knee

Huai Niu Xi, Dai Zhe Shi, Long Gu, Mu Li, Gui Ban, Xuan Shen, Tian Men Dong, Bai Shao, yin chen, chuan lian zi, mai ya, gan cao

very important formula

23
Q

Wind Stroke: Stroke Sequelae

A

Bu Yang Huan Wu Tang
Qian Zheng San

Hemiplegia - often wi Qi Def (soft musculature, pale face) + Bld Stasis (pale, purple, deviated tongue) Sx

BYHWT: huang qi, dang gui, chuan xiong, chi shao, tao ren, hong hua, di long
caution: most stroke patients have HTN - moderate Huang Qi Dose if needed - use raw herbs to regulate HQ dose

QZS: bai fu zi, bai jiang can, quan xie - must use powder! Modification: add Huang Qi and Dang Gui to ton qi + bld
Tao Ren and Hong Hua to move bld.

Use heating pad and topical herbs on face

24
Q

Headache herbs:

A

Qiang Huo - goes to the Tai Yang
pain along the UB channel, back of the neck but aslo along UB1 and UB2

Bai Zhi - goes to Yang Ming
frontal HA, along ST channel in face

Chai Hu - goes to Shao Yang
temporal headache along GB channel

Ge Gen - goes to Tai Yin
headache with a heavey (damp) sensation + digestive deficiency and deficiency cold condition

Xi Xin - goes to Shao Yin
cold sensation plus KD deficiency signs

Wu Zhu Yu - goes to Jue Yin
more vertex pain

25
Q

Atrophy: LU Heat

A

Qing Zao Jiu Fei Tang

Sx: fever, chills w sudden limb weakness and dry Sx from LU lobes being wilted.

Sang Ye
Shi Gao
Mai Men Dong
E Jiao
Hei Zhi Ma
XIng Ren
Pi Pa Ye
Ren Shen 
Gan Cao

Modification: add CHuan Bei Mu for Phlegm

pattern can move deeper to cause LV/KD Deficiency

26
Q

Atrophy: Damp Heat

A

Er Miao San

Sx: atrophy more severe in lower legs/ankles with heavy body, swelling limbs, numbness, heat sensation, fever, scanty urine

Huang Bai
Cang Zhu

modifications: chuan Niu Xi - San Miao San for leg edema
above plus Yi Yi Ren - Si Miao San - for Damp
Mu Gua for numbness
Mu Tong, or Ze Xie to promote urination
Hua Shi for summer heat, heart heat Sx

27
Q

Atrophy: SP/ST Def

A

Bu Zhong Yi Qi Tang or Shen Ling Bai Du San

Sx: Atrophy with muscle shrinkage - almost no muscle and Qi Def Sx.

to lift the QI: BZYQT
huang qi, ren shen, bai zhu, gan cao, dang gui, chen pi, sheng ma, chai hu

to support the muscles: SLBDS
ren shen, bai zhu, fu ling, gan cao (si jun zi tang) +
shan yao, lian zi, bai bian dou, yi yi ren (edibles to ton SP) +
jie geng, sha ren, chen pi

28
Q

Atrophy: KD/LV Def

A

Hu Qian Wan

Sx: weak legs, double vision, ptosis, difficulty swallowing and other KD/LV def Sx

huang bai, zhi mu, shu di, gui ban, bai shao, hu gu, shuo yang, gan jiang, chen pi

Rx still used as pill form - modified

29
Q

Diarrhea: Damp Cold

A

Huo Xiang Zheng Qi San

Sx: Diarrhea w abdo pain, borborygmous, fullness

huo xiang, hou po, chen pi, zi su ye, bai zhi, ban xia, da fu pi, bai zhu

works on 2 levels: WC invasion and Dampness

modifications: add herbs to clear heat bc damp stag can turn into heat. Huang Lian or Huang Qin

30
Q

Diarrhea: Damp Heat

A

Ge Gen Huang Qin Huang Lian tang
- common in hot/tropical weather - Shan Hang Lu Rx, still used

Sx: Diarrhea w abdo pain, tenesmus, heat Sx

ge gen, huang qin, haung lian, gan cao

Modification: need to add eliminate damp herbs: Ze Xie or Fu Ling to promo urino

31
Q

Diarrhea: Damp Heat with more damp than heat

A

Ping Wei San

  • song dynasty 1000 yo, still used
  • can cause constipation if used too long

cang zhu, hou po, chen pi, gan cao, sheng jiang, da zao

vs Er Chen Tang - ECT is more upper jiao, PWS is more damp in MJ

32
Q

Diarrhea: Food Stagnation

A

Bao He Wan

diarrhea w fullness, bad breath, smelly stool (rotten food smell) - no appetite and history of overeating

shan zha, shen qu, lai fu zi, mai yua, chen pi, ban xia, fu ling, lian qiao

need to move accumulation not astringe diarrhea

33
Q

Diarrhea: Food Stagnation with Damp heat

A

Zhi Shi Dao Zhi Wan

still more damp than heat (if mostly damp heat - use Ge Gen Huang Lian Tang)

da huang, ze xie, fu ling, shen qu, bai zhu, zhi shi, haung qin, huang lian

34
Q

Diarrhea: LV Qi Invading the SP

A

Tong Xie Yao Fang
- pain diarrhea important formula

LV Qi stagnation - worse w emotional stress

bai zhu, bai shao, chen pi, fang feng
ton sp, soothe lv, reg qi, lift clear qi

35
Q

Diarrhea: SP Qi Deficiency

A

Shen Ling Bai Zhu San

diarrhea + sp qi def sx

ren shen, bai zhu, fu ling, gan cao (si jun zi tang)
shan yao, bai bian dou, liand zi, yi yi ren (foods to ton sp)
sha ren , jie geng, chen pi (move and regulate qi)

modifications:
if more COLD Sx, pattern moving from SP Xu to Yang Xu: use Li Zhong Wan or Fu Zi Li Zhong Wan

if sinking syndrome/prolapse: Bu Zhong Yi Qi Tang

36
Q

Diarrhea: KD Yang Def

A

Si Shen Wan plus Li Zhong Wan

chronic diarrhea - early morning or upon waking
not useful diarrhea (like food stag diarrhea) - need to astringe

bu gu zhi, wu zhu yu, rou dou kou, wu wei zi, sheng jiang, da cao (Si Shen Wan)

Gan Jiang, Ren Shen, Bai ZHu, Gan Cao (Li Zhong Wan

37
Q

Migraine

A

no classic Rx

complex pattern: Bld Stasis + Wind or
LV Stag + Wind or
Damp

Tian Ma, Chuan Xiong, Bai Zhi, Gao Ben

Quan Xue/Di Long if severe
Long Dan Cao/Zhi Zi/Huang Qin if heat

CHIM 1 (9 decks)

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