Substances that Open the Orifices/ Extinguish Wind & Stop Tremors Flashcards

1
Q

What is the marquee substance to open the orifices and revive the spirit? What secondary function makes she xiang a popular ingredient in die da plasters? What is a modern indication for this substance? How should this herb be used?

A

She Xiang/Moschus; topical plasters bc it also invigs blood; Hit medicine – die da yao; It’s used always in prepared pill form - now synthetic version

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2
Q

Shi Chang Pu’s/Styrax open the orifices Fx. is secondary to which Fx.? What are some indications of the 2nd Fx.?

A

Mostly for turbid dampness, phlegm misting orifices aka crazy AND MJ;

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3
Q

What is the marquee substance to relieve heat toxin? What is the typical dosage range of this substance? Which fx. is Niu Huang/ Bovis Calculus renowned for?

A

Niu Huang/ Bovis Calculus – cow gallstones; typically .2-.5 very small; Clearing LV heat

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4
Q

Su He Xiang/Styrax is indicated for Hot or Cold Closed Disorders?

A

Mostly for COLD but can also be used in combo formulas for Hot –much rarer than hot cold close d/o – Su He Xiang Teng

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5
Q

Which of the four open the orifice substances has a relatively larger dosage range?

A

Shi Chang Pu/ Acori Tatarinowii Rhizoma aka Chang Pu (3-9g)

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6
Q

What is the legal status of Niu Huang/Bovis Calculus; Ling Yang Jiao/Saigae Tataricae Cornu; She Xiang/Moschus? Are they illegal? How does Ling Yang Jiao compare to Xi Jiao?

A

Niu – use freely – just hard to get. Ling Yang Jiao/Saigae Tataricae Cornu – you need a PERMIT/CERTIFICATE — she xiang/Moschus is illegal bc endangered.; xi jiao is rhino & 100% illegal worldwide.

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7
Q

What type of H/A’s can Gou Teng treat? What type of prep is required of this herb? What mechanism does Gou Teng/Unicariae Ramulus cum Uncis possess to extinguish wind?

A

Gou Teng/Unicariae Ramulus cum Uncis – LV yang rising heat or LV heat (xu or excess) ; prep required in last 10 mins; clears LV heat – LV & wind go hand in hand —- Tian Ma/Gastrodiae Rhizoma & Gou Teng/Unicariae Ramulus cum Uncis are due yao’s

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8
Q

What type of dosing & preparation is required of minerals & shells?

A

Cook 1st for 30 mins then 60 mins min. usually higher doses bc heavy

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9
Q

Di Long/Pheretima plays an important role in stroke Sequelae, asthma case, & arthritis. Identify these roles.

A

Invigorate the channels when u have paralysis or numbness; asthma – clears phlegm heat in lung; arthritis – invigorates channels for bi syndrome

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10
Q

What precautions should a TCM practitioner exercise when prescribing Quan Xie/Scorpio & Wu Gong/Scolopendra? Is it still used presently?

A

Both are toxic - toxins deactivated if cooked for at least 30 mins, better to use in raw powder form, Very low doses; YES, still used by very skilled practitioners

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11
Q

What is Bai Ji Li/Tribuli Fructus also known as? Fx?

A

Aka Ci Ji Li/Tribuli Fructus; relieves itching

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12
Q

Is (Bai) Jiang Can/Bombyx Batryticatus Toxic? Can it be used for scrofula?

A

No; yes it can be used for scrofula

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13
Q

“locked-up” disorder (bi zheng), a type of wind-stroke which manifest as coma, locked
jaw, clenched fists, rigid limbs, & a ________ pulse

A

forceful pulse

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14
Q

Two categories of Closed disorders (bi zheng)?

A

1.) Hot closed d/o (Pathogenic Heat/Heat Toxin sinking into PC)
S&S: delirium, irritability, convulsions, rapid pulse, & usually a high fever
2.) Cold closed d/o (Pathogenic Cold/constrained Qi generating turbid phlegm which veils the orifices of the HT) – S&S: ashen/cyanotic face, cold body, white tongue coating, & slow pulse. This d/o is sometimes heralded by a sudden collapse or foaming @ the mouth, which usually seen in coma from CVA or poisoning

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15
Q

Should these herbs be used to treat “tuo zheng” when delirium or coma follows excessive sweating, excessive vomiting, or hemorrhage, or if the patient is weak or in shock with such S&S as severe sweating, cold limbs, flaccidity, loss of bladder & bowel control, & a minute weak pulse

A

NO

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16
Q

This group of herbs are ____ & ____ . They are almost always taken in _____ form or _____
form.

A

ACRID & AROMATIC; pill or powder form

17
Q

Should these herbs be used for long periods of time?

A

NO, short duration

18
Q

Phlegm in the ____ channel is phlegm being carried up by wind yang ascending counterflow, causing sudden collapse, phlegm rale in the throat, &
convulsions or hemiplegia, as observed in wind stroke or epilepsy

A

LV

19
Q

_____ governs the spirit

A

Heart