TCM Herbs for Digestive and Urinary Flashcards
TCM 3rd year 2nd semester
Which of the following formulas is most appropriate for treating “Plum-Pit Qi” syndrome (globus hystericus)?
A) Ban Xia Hou Po Tang
B) Chai Hu Shu Gan San
C) Ma Zi Ren Wan
D) Ba Zheng San
A) Ban Xia Hou Po Tang: Correct. This formula is specifically indicated for “Plum-Pit Qi” (a feeling of a lump in the throat that cannot be swallowed or spit out), which is related to Liver Qi stagnation with phlegm.
B) Chai Hu Shu Gan San: Incorrect. While this formula spreads Liver Qi and alleviates pain, it is not specifically used for “Plum-Pit Qi” syndrome.
C) Ma Zi Ren Wan: Incorrect. This formula is used for constipation due to dryness, not conditions related to rebellious Qi or phlegm.
D) Ba Zheng San: Incorrect. This formula is used for urinary disorders, particularly damp-heat, and does not address Liver Qi stagnation with phlegm.
TCM 3rd year 2nd semester
Which herbal formula is most appropriate for a patient with constipation due to internal cold?
A) Long Dan Xie Gan Tang
B) Da Huang Fu Zi Tang
C) Ma Zi Ren Wan
D) Ba Zheng San
B) Da Huang Fu Zi Tang: Correct. This formula contains Fu Zi (Aconite), which warms the interior and dispels cold, making it suitable for constipation caused by internal cold.
A) Long Dan Xie Gan Tang: Incorrect. This formula clears Liver and Gallbladder heat but does not warm the interior or treat constipation from cold.
C) Ma Zi Ren Wan: Incorrect. This formula treats constipation from dryness, not from cold.
D) Ba Zheng San: Incorrect. This formula is primarily used for clearing damp heat from the lower burner and does not address constipation.
TCM 3rd year 2nd semester
Which of the following formulas is contraindicated in patients with Yin deficiency?
A) Chai Hu Shu Gan San
B) Ma Zi Ren Wan
C) Da Huang Fu Zi Tang
D) Ba Zheng San
A) Chai Hu Shu Gan San: Correct. This formula spreads Liver Qi and promotes Qi circulation, but it can be too drying for patients with Yin deficiency.
B) Ma Zi Ren Wan: Incorrect. This formula moistens the intestines and is generally not contraindicated for Yin deficiency, though it should be used with caution in weak patients.
C) Da Huang Fu Zi Tang: Incorrect. This formula warms the interior and is not known to exacerbate Yin deficiency.
D) Ba Zheng San: Incorrect. While it clears heat and promotes urination, it is primarily contraindicated in weak patients and pregnancy rather than for Yin deficiency alone.
TCM 3rd year 2nd Semester
A patient presents with foul leukorrhea, damp heat in the external genitalia, and irritability. Which formula is most appropriate?
A) Ba Zheng San
B) Long Dan Xie Gan Tang
C) Ban Xia Hou Po Tang
D) Chai Hu Shu Gan San
B) Long Dan Xie Gan Tang: Correct. This formula clears excess heat from the Liver and Gallbladder and drains damp heat from the lower burner, making it effective for conditions like foul leukorrhea and damp heat in the external genitalia.
A) Ba Zheng San: Incorrect. This formula is used for acute urinary disorders caused by damp heat, but it is not specifically indicated for foul leukorrhea.
C) Ban Xia Hou Po Tang: Incorrect. This formula is used for Liver Qi stagnation with phlegm, not damp-heat conditions.
D) Chai Hu Shu Gan San: Incorrect. This formula spreads Liver Qi but does not have a strong action on damp heat or leukorrhea.
TCM 3rd year 2nd semester
Which of the following formulas is contraindicated in patients with Yin deficiency?
A) Chai Hu Shu Gan San
B) Ma Zi Ren Wan
C) Da Huang Fu Zi Tang
D) Ba Zheng San
A) Chai Hu Shu Gan San: Correct. This formula spreads Liver Qi and promotes Qi circulation, but it can be too drying for patients with Yin deficiency.
B) Ma Zi Ren Wan: Incorrect. This formula moistens the intestines and is generally not contraindicated for Yin deficiency, though it should be used with caution in weak patients.
C) Da Huang Fu Zi Tang: Incorrect. This formula warms the interior and is not known to exacerbate Yin deficiency.
D) Ba Zheng San: Incorrect. While it clears heat and promotes urination, it is primarily contraindicated in weak patients and pregnancy rather than for Yin deficiency alone.
Which formula is contraindicated in cases of Spleen and Stomach deficiency with diarrhea due to its cloying and heavy herbs?
A) Liu Wei Di Huang Tang
B) Zhi Bai Di Huang Tang
C) Zuo Gui Wan
D) All of the above
Correct Answer: D) All of the above
Rationale: All the formulas listed are Yin tonics with heavy and cloying herbs that require strong digestive function for proper absorption. Diarrhea is a contraindication in all cases.
Which formula is most appropriate for Liver Yang Rising with fire flaring and requires descending fire as a priority?
A) Liu Wei Di Huang Tang
B) Zhi Bai Di Huang Tang
C) Zuo Gui Wan
D) Da Bu Yin Wan
Correct Answer: D) Da Bu Yin Wan
Rationale: Da Bu Yin Wan has the strongest fire-descending action, addressing conditions like Liver Yang Rising and severe Yin deficiency with heat.
Which formula is considered a foundational Yin tonic and is most balanced in terms of strength and duration?
A) Liu Wei Di Huang Tang
B) Zhi Bai Di Huang Tang
C) Zuo Gui Wan
D) Da Bu Yin Wan
Correct Answer: A) Liu Wei Di Huang Tang
Rationale: Liu Wei Di Huang Tang is moderate in its tonic and heat-clearing strengths, making it the most balanced and suitable for long-term use.
Which formula is most appropriate for mild Liver and Kidney Yin deficiency without fire symptoms?
A) Liu Wei Di Huang Tang
B) Zhi Bai Di Huang Tang
C) Zuo Gui Wan
D) Da Bu Yin Wan
Correct Answer: A) Liu Wei Di Huang Tang
Word Breakdown:
Liu Wei: “Six Ingredients,” indicating the six herbs included in the formula.
Di Huang Tang: Rehmannia-based decoction for nourishing Yin.
Rationale: Liu Wei Di Huang Tang is a foundational formula for nourishing Yin and tonifying the Liver and Kidney, suitable for mild Yin deficiency without fire or severe essence depletion.
Why Others Are Incorrect:
B) Zhi Bai Di Huang Tang: Focused on addressing deficiency fire.
C) Zuo Gui Wan: Designed for severe essence deficiency, not mild conditions.
D) Da Bu Yin Wan: Best for Yin deficiency with significant fire symptoms.
TCM 3rd year 2nd semester
Which herbal formula is best suited for a patient with acute heat Lin syndrome?
A) Ban Xia Hou Po Tang
B) Ba Zheng San
C) Ma Zi Ren Wan
D) Da Huang Fu Zi Tang
B) Ba Zheng San: Correct. This formula is specifically indicated for acute heat Lin syndrome, which involves painful, burning urination due to damp heat.
A) Ban Xia Hou Po Tang: Incorrect. This formula treats Liver Qi stagnation with phlegm and does not address acute urinary disorders.
C) Ma Zi Ren Wan: Incorrect. This formula is used for constipation due to dryness, not urinary disorders.
D) Da Huang Fu Zi Tang: Incorrect. This formula treats constipation due to internal cold and is not indicated for urinary conditions.
A patient with Liver Qi stagnation and epigastric pain caused by Liver Qi invading the Stomach would benefit most from which formula?
A) Chai Hu Shu Gan San
B) Long Dan Xie Gan Tang
C) Ba Zheng San
D) Da Huang Fu Zi Tang
A) Chai Hu Shu Gan San: Correct. This formula spreads Liver Qi, promotes Qi circulation, and harmonizes the Blood, making it suitable for conditions where Liver Qi stagnation is affecting the Stomach.
B) Long Dan Xie Gan Tang: Incorrect. While it clears Liver and Gallbladder heat, it is more indicated for damp-heat conditions rather than epigastric pain from Liver Qi stagnation.
C) Ba Zheng San: Incorrect. This formula treats acute urinary conditions and does not address Liver Qi stagnation affecting digestion.
D) Da Huang Fu Zi Tang: Incorrect. This formula is used for constipation from internal cold, not Liver Qi invasion of the Stomach.
Which formula is best suited for treating acute urinary disorders with burning pain and dark urine?
A) Ma Zi Ren Wan
B) Ba Zheng San
C) Chai Hu Shu Gan San
D) Ban Xia Hou Po Tang
Answer: B) Ba Zheng San
Explanation:
A) Ma Zi Ren Wan – Used for constipation due to dryness, not urinary disorders.
B) Ba Zheng San – Clears heat and dampness from the urinary tract, making it the best choice for acute urinary conditions with burning and dark urine.
C) Chai Hu Shu Gan San – Treats Liver Qi Stagnation, not urinary conditions.
D) Ban Xia Hou Po Tang – Treats Plum-pit Qi syndrome, not urinary conditions.
3rd year 2nd semester
Which formula would be best for treating Liver Qi stagnation that is affecting digestion?
A) Ban Xia Hou Po Tang
B) Chai Hu Shu Gan San
C) Long Dan Xie Gan Tang
D) Ba Zheng San
B) Chai Hu Shu Gan San – Specifically treats Liver Qi Stagnation affecting the Stomach, making it the best choice for digestive complaints.
A) Ban Xia Hou Po Tang – Treats Liver Qi Stagnation with Phlegm and “Plum-pit Qi,” but does not strongly focus on digestion.
C) Long Dan Xie Gan Tang – Clears Liver and GB Fire; used for damp-heat conditions, not primarily for digestive issues.
D) Ba Zheng San – Used for acute urinary disorders, not digestive issues.
Which two formulas share a caution for use in patients with Yin Deficiency?
A) Ban Xia Hou Po Tang and Chai Hu Shu Gan San
B) Ma Zi Ren Wan and Da Huang Fu Zi Tang
C) Long Dan Xie Gan Tang and Ba Zheng San
D) Chai Hu Shu Gan San and Ma Zi Ren Wan
A) Ban Xia Hou Po Tang and Chai Hu Shu Gan San – Both formulas move Liver Qi and treat stagnation, which can further deplete Yin.
B) Ma Zi Ren Wan and Da Huang Fu Zi Tang – Ma Zi Ren Wan is cautioned for Blood Deficiency, not Yin Deficiency; Da Huang Fu Zi Tang is not contraindicated.
C) Long Dan Xie Gan Tang and Ba Zheng San – Both formulas clear heat and drain dampness, but they are not specifically contraindicated for Yin Deficiency.
D) Chai Hu Shu Gan San and Ma Zi Ren Wan – Only Chai Hu Shu Gan San is contraindicated for Yin Deficiency.
