Shang Han Lun-Tai Yang (End) & Yang Ming Flashcards by Patricia Orsini

Distention in Abdomen

Patho: After diaphoretic, Speen Qi Deficiency

Hou Po Sheng Jiang Ban Xia, Zhi Gan Cao Ren Shen Tang

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Tai Yang Cold for 2-3 days
Agitation & Palpitations (Ht qi weak)
Patho: Interior Deficiency with Tai Yang Cold syndrome

Xiao Jian Thong Tang
Minor decoc. for strength. MJ
(Gui Zhi tang plus Yi tang

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Patient perspires Spontaneously
Slight aversion to Cold
Vexed
Urinates Frequently
FOOT SPASMS
Parched in THROAT &amp; Restless
(HT &amp; KI not harmonized)
P:  Superficial
*NO Gui Zhi Tang (would increase coldness of Ext. &amp; would lose more body fluids)

Gan Cao Gan Jiang Tang

Yin & Yang Deficiency

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After patient’s extremities warm up - help relieve foot spasms

Shao Yao Gan Cao Tang

Yin & Yang Deficiency

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Patient experiences Delirium & ST discomfort

Tiao Wei Cheng Qi Tang (small doses)
(Purges accumulation/decreases delirium)

Yin & Yang Deficiency

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Patho of Yin & Yang Deficiency - When pt. has yin & yang def. with Tai Yang & is treated with diaphoretics, it gets more severe
TP = ?

Warm up MJ and Yang than nourish Yin

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Tai Yang Cold with Severe case of PALPITATIONS
Knotted & Intermittent PUlse
Patho: Heart Yin & Yang Def.
Heart Qi & Blood Def.

Zhi Gan Cao Tang

*Baked Licorice Decoction

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Tai Yang with Superficial, moving & SPEEDY pulse
(patho.in chest-fighting with Chest Yang qi)
Headache - Fever - slight sweating
Aversion to Cold not relieved
After purg. speeding pulse becomes Slow
Pain in diaghragm Aggravated by Pressing
Empty feeling in ST
SOB, Anxiety, Irritability, Hardness beneath the heart d/t Accumulation in Chest
Sweating only on HEAD

Da Xian Xion Tang
Major Formula for Chest Accumulation

Patho: Heat & Water accum. in chest

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Tai Yang 6-7 days
Fullness & Hardness in chest
Pain beneath the Heart
Hard sensation like pressing on Stone
P:  Deep, Tense

Da Xian Xion Tang

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After diaphoretics & purgative- NO Stool 5-6 days
Tongue is Parched & Thirsty
Slight Tidal Fever in Afternoon
Distended over Entire Abdomen
Cannot bear to be TOUCHED

Da Xian Xion Tang

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MILD Accumulation in Chest
Fullness & Tenderness on Pressure right Beneath the Heart
P: Slippery

Patho: Mild heat & Phlegm accum. beneath HT

Xiao Xian Xion Tang

Minor Formula for Accum. in Chest

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Pulse superficial & Tense
After Purgative - Pulse DEEP & Tense
(reflects Qi stagnation taking place-NO PAIN when pressed with Qi stag)
Stagnant spot is SOFT when Pressed

Ban Xiao Xie Xin Tang

Patho: Qi stagnation

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Tai Yang after 5-6 days
Nausea & Vomiting (Shao Yang)
Fever (outside going to interior)
(Heat with N/V-GB qi overacting on ST)

*Tai Yang Cold & Shao Yang heat

Chai Hu Tang

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N/V
Fever
Fullness/Hardness
Pain at Epig.

Da Xian Xion Tang

Accum. in Epig.

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ONly Fullness-NO PAIN

Ban Xia Xie Xin Tang
(Pinellia Decoc to drain Epig.)

No Chai Hu Tang

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Fullness at Epig.
N/V
Gurgling sound in INtestine
Diarrhea

Ban Xia Xie Xin Tang

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Tai Yang cold dispelled through Perspiration
Uneasiness in ST
Full/Hard Epigastrium
Belching with a SMELL of indigestion
(Water stag. on hypoch. region)
Diarrhea with gurgling sound in abd.
PAIN on Hyupoc Region
Edema on Legs
Dysruia

Sheng Jiang Xie Xin Tang
Fresh Ginger decoc. to drain the Epi.

Patho: SP & ST qi deficiency

Tai Yang improperly treated with Purgatives
SEVERE Diarrhea
Very LOUD Borborygmus
Nausea & Restlessness

Patho: Qi stag with fullness & hardness in epi.
SP/ST qi deficiency

Gan Cao Xie Xin Tang

Licorice decoc. to drain the Epig.

Tai Yang cold relieved by perspiration, vomiting or purgation tx.
Unremitting Belching & Hiccough
Stagnancy & Hardness in Epi.

Patho: combination of Phlegm & Qi causes stag.

Xuan Fu Dai Zhe Tang

Decoc. of Flos Indae & Haematitum

Main Symptoms for Yang Ming Channel Syndrome

Fever
Spontaneous Perspiration
Aversion to Heat
Surging & Big Pulse
Extreme Thirst
Irritability, Flushed Face
T:  Yellow, Dry Coat

Main Symptoms for Yang Ming FU Syndrome

Tidal Fever
Profuse Perspiration
Constipation
Delirium
Aversion to Heat

Superficial, Tense Pulse
Dry Throat-Bitter Taste in Mouth
Abdominal Distention
Wheezing
Fever-Perspiration
Aversion to HEAT
Heaviness in Movement
Purgative given - increases ST heat - Restlessness &amp; Irritation

Zhi Zi Chi Tang

Patho: Heat accumulation in Diaphragm

*Yang Ming Channel Syndrome

High Fever
Profuse Perspiration
Extreme Thirst
Surging & Big Pulse
Irritability - Flushed Face
Aversion to HEAT
T:  Yellow & Dry

Bai Hu Tang
Shi Gao
Zhi Mu
Gan Cao
Geng Mi

Patho: Excessive interior heat in ST

*Yang Ming Channel Syndrome

Tai Yang Syndrome
Profuse Persp. d/t taking Gui Zhi Tang
Extreme Thirst
Restlessness
Surging & Big Pulse
*Can only use this formula if exterior synd. is resolved

Bai Hu Tang jia Ren Shen tang

Patho: Interior heat with injured Body Fluid & Qi
Clear Heat-Tonify Qi & Body Fluid

*Yang Ming Channel Syndrome

Symptoms of Yang Ming FU Syndrome

``` Tidal Fever PROFUSE Perspiration CONSTIPATION Delirium Aversion to Heat ```

``` Tai Yang Syndrome Relieved Tidal Fever Profuse Sweating Constipation Delirium ```

``` Da Cheng Qi Tang Da Huang Mang Xiao Zhi Shi Hou po ``` *Yang ming FU syndrome

``` Tai Yang Cold lasting 6-7 days Blurred Vision Low Spirits (Ht fluid) Constipation Slight Body Fever ```

Da Cheng Qi Tang *Yang Ming Fu Syndrome

No Stool for 6-7 days after purgative Restless Abdominal Distention/ Pain(left over Dry Stool)

Da Cheng Qi Tang *Yang Ming Fu Syndrome

No stool for 5-6 days Abdominal pain is around Umbilicus (constipation pain) Irritability

Da Cheng Qi Tang

Profuse Perspiration (exhaustion of fluids causes dryness of Stomach) Dry Stool Delirium *Formula not as strong, pain is mild

``` Xiao Cheng Qi Tang Da Huang Zhi shi Hou po *no Mang Xiao ``` *Yang Ming Fu syndrome

Tai Yang Synd for 3 days after diaphoresis Constipation Profuse Sweating Fever like Steaming (intense severe heat inside) Irritability Abdominal Fullness *Most mild formula - mainly for clearing Heat

Tiao Wei Cheng Qi Tang Da Huang Mang Xiao-added for strong purging Gan Cao

After emetic patient has abdominal Distention

Tiao Wei Cheng Qi Tang

YM syndrome with NO Sweating Dysuria Irritability

Yin Chen Hao Tang *Skin will start turning yellow d/t no sweating or urination Damp Heat

YM Syndrome Sweating on HEAD only Dysuria Thirst & Desire to drink water

Yin Chen Hao Tang Damp Heat

Tai Yang Cold 6-7 days Bright Orange Skin Color Difficult Urination Slight Abd. fullness

Yin Chen Hao Tang Damp Heat

Tai Yang cold with Yellow Skin & Fever No int/ext. syndrome - only damp with heat

Zhi Zi Bai Pi Tang

Tai Yang Cold Syndrome Jaundice *Interior Damp Heat Accumulation

Ma Huang Lian Qiao Chi Xiao Dou Tang TP: Release exterior - Dispel cold - elliminate Damp

Yang Ming syndrome Amnesia (Blood Stasis-Long perior of blood stasis causes amnesia) Hard Feces but defecates easily with Melena

Di Tang Pill | Chronic Blood stag.

Fever for 7 - 8 days No ext. or int. syndrome Can adapt purgative even when pulse is floating & speedy After purgative, pulse is SPEEDY Hungry (Heat in ST) No stool for 6-7 days (indication that blood stasis has taken place)

Di Tang Tang | Now it is blood heat

Anorexia is Yang Ming Syndrome caused by

Cold ST Heat = Good Appetite ST Cold = Loss of Appetite

Anorexia with deficiency & Cold in Stomach Regurgitation when wter is drunk Nausea after taking food (YM syndrome)

Wu Zhu Yu Tang | ST Cold