Shang Han Lun-Tai Yin, Shao Yin, Jueyin

Question 1

What Type of syndrome is Tai Yin

Answer 1

Interior Deficient Cold Syndrome
Foot Tai Yin = Spleen
SP Yang Deficiency Case
Wind & Cold invade interior
SP/ST Yang deficiency=you do not feel Cold, bu have COLD symptoms
TP: Warm MJ, Strengthen SP, Dispel COLD, Eliminate Damp

Question 2

Main Symptoms of Tai Yin

Answer 2

Abdominal Fullness
Vomiting (cold)
Poor Appetite
Severe DIARRHEA, sometime with Abd. Pain
Distention & Hardness in epig. if treated with purgatives
Diarrheat WITHOUT THIRST d/t Deficient Cold of SP

Question 3

Diarrhea without Thirst

Answer 3

Li Zhong Tang
Warm the MJ decoc.
Ren Shen, Gan Jiang, Zhi Gan Cao, Bai Zhu

Patho: SP Deficient Cold
TP: Warm MJ, strengthen SP, Dispel Cold

Question 4

Tai Yin Syndrome with Tai Yang Syndrome
Diarrhea
Abd. Distention
PAIN over the Body (Cold)

What do you treat first

Answer 4

Treat interior coldness first than treat exterior
Si Ni Tang
than
Gui Zhi Tang

Question 5

Tai Yin Syndrome with Superficial pulse
Abd. fullness or distention
Pain or no pain with exterior syndrome

Answer 5

Gui Zhi Tang 1st
than
Si Ni Tang

Patho: Spleen deficient cold with Exterior Syndrome
TP: Warm MJ and relieve ext. syndrome

Question 6

Tai Yin syndrome with Abdominal Pain

Tai Yang syndrome was improperly treated with purgatives (causes abd. pain & dist.)

Answer 6

Gui Zhi Jiao Shao Yao Tang

Question 7

Disease is transmitted into Tai Yin Channel
Excessive INTERIOR Cold
SEVERE Pain (excessive cold) in Abdomen

Answer 7

Gui Zhi Jia Da Huang Tang

Patho: Spleen Yang Qi is deficient with accum. of exterior pathogen
TP: disperse Ext. synd. of Tai Yang as well as eliminate the Interior Excess Tai Yin

Question 8

Best herb for pain in the abdomen d/t Cold

Answer 8

Shao Yao

Question 9

Main symptoms of Shao Yin syndrome

*Foot Shao Yin = Kidney=stores Yin & Yang

Answer 9

Feeble (qi/blood weak), Thready (blood) Pulse
Sleepy all the time
Aversion to Cold without Fever
Fatigue
Vomiting
Diarrhea with undigested cereal
Cold Limbs
*Long & Clear Urine-(vital energy at LJ cannot control water circulation)
Pale and white tongue coating

Question 10

Shao Yin Syndrome with DEEP pulse (feeble & thready)
WHOLE BODY COLD
Warm the Yang immediately

Answer 10

Si Ni Tang
Zhi Gan Cao
Gan Jiang
*Raw fu Zi - hotter & more toxic

Patho: Yang Qi Deficiency, deficient cold is severe
TP: Rescue Yang

Question 11

Shao Yin synd with Diarrhea containing undigested cereals (Tai Yin + Shao Yin)
Cold Hands & Feet
Pulse too feeble to be senses
Pt. does not feel chilled but has a Flushed Face

Answer 11

Tong Mai Si Ni Tang
Zhi Gan Cao
Gan Jiang - dosage increased
Raw Fu Zi - dosage increased

Patho: Yang Qi deficiency - deficient cold is severe
TP: Rescue Yang

Question 12

Shao Yin syndrome for 5-6 days (KI weak, all organ weak)
Abd. Pain
Diffic. Urination
Heavy & Aching sensation in limbs (Sp Yang def.)
Diarrhea - d/t water accum.
May also have Cough
NORMAL urination
Diarrhea - N or V

Answer 12

Zhen Wu Tang

Patho: Shao Yin Tang Def. - Water accum.
TP: Warm KI Yang and induce diuresis

Question 13

Shao Yin Synd with WHOLE Body ACHING
Cold Hands & Feet
Joint Pain
Deep Pulse

Answer 13

Fu Zi Tang
Aconite Decoc.

Patho: Yang deficiency with cold and Damp accum.
TP: Warm the channel, dispel cold, eliminate damp
*Not as strong as Si Ni Tang

Question 14

Shao Yin with Nausea, Vomiting & Diarrhea
Cold Limbs
Severe Irritability*
Insomnia*

Answer 14

Wu Zhu Yu Tang

Evodia Decoc - main symptom is N/V d/t cold

Question 15

Shao Yin Syndrome has lasted for 2-3 days
Irritability
Insomnia

Patho: Shao Yin Sybd., Kidney Yin Def. with Heart Yang uprising
*Shao Yin Deficient Heat Syndrome

Answer 15

Huang Lian E Jiao Tang
Coptis & Ass Hide Gelatin decoc.
Huang Lian
Huang Qin
Shao Yao
Ji Zi Huang - egg yolk *whenever heart fire need fluid as it damages ht. blood. egg=thick, strong)
E Jiao

Question 16

Shao Yin Syndrome with Diarrhea
6-7 days
Cough
Vomiting
Thirst
Irritability
Insomnia

Answer 16

Zhu Ling Tang

Patho: Yin Deficiency, Devil Heat and water Accum.
TP: Nourish Yin, Clear Heat, Induce diuresis (Drain & Nourish)

Question 17

Beginning of Shao Yin syndrome
Fever (ext.-no fever with shao yin)
Deep Pulse (shao yin)
(No diarrhea or cold)

Patho: Shao Yin synd. with exterior synd (ext. cold)
TP: Warm Yang/Release Exterior

Answer 17

Ma Huang Fu Zi Xi Xin Tang

Question 18

Shao Yin Main Symptoms

Answer 18

1. Drowsy
2. Diarrhea
3. Cold Limbs
4. Weak Pulse

Question 19

Shao Yin Syndrome
Diarrhea (yang def. coming from Tai Yin channel whose main symptom is diarrhea)
*Sore Throat
Fullness in Chest
Irritbility
Patho: Shao Yin Yin def. with Sore Throat d/t def. heat & dried body fluid
TP: Nourish KI Yin, Moisten LU, T. SP

Answer 19

Zhu Fu Tang

Question 20

Shao Yin 2-3 days 
Sore Throat
Pathog:  Heat invades Shao Yin channel
TP:  Clear Heat & treat sore throat
*Usually no sore throat in Shao Yin

Answer 20

Gan Cao Tang-if not relieved
Jie Geng Tang=Gan Cao + Jie Geng

*Shao Yin = Yang Def - can have Yin def.

Question 21

Yang almost gone-Yin occupies=Very Cold
Whole Body Cold - HEAT coming out
Upper Heat - Lower Cold symptoms
Main Symptoms:  **Severe Thirst (Heat)
Frequent Urination (Cold)
Feeling of ascending air rushing up from the epig.
Painful feeling in chest (ST)
Hungry with NO desire to eat
May vomit up ascarides

Answer 21

Jue Yin Syndrome = Foot Jueyin Liver Channel

Question 22

What is Jue Yin divided into?

Answer 22

1. Upper heat & Lower Cold
2. Alternated cold Limb and Heat syndrome
3. Cold Limbs syndrome

TP: Treat LV & ST - clear upper heat & warm the lower
Only heat syndrome=clear heat
Only cold syndrome - Warm & dispel cold

Question 23

Main Formula for Jue Yin

Answer 23

Wu Me Wan

Patho: Upper heat & lower cold diarrhea caused by combination of heat & cold
TP: Nourish Yin, Clear Heat, Warm the Yang, Lower Reverse Qi, Calm dow ascarides, relieve pain (Strengthens Qi & Blood)