TCM INTERNAL MEDICINE MIDTERM Flashcards
Symptoms: severe aversion to cold, mild fever, no perspiration, headache, body ache, stuffy/runny nose, scratchy throat, cough with white clear phlegm
Tongue: thin white coating, moist
Pulse: floating or floating and tight
WIND COLD BINDING THE SUPERFICIES
WIND COLD BINDING THE SUPERFICIES pathogenesis
Pathogenesis: wind cold fettering the superficies, defensive yang qi gets obstructed, skin and pores are blocked, affecting the lung qi’s dispersing
WIND COLD BINDING THE SUPERFICIES formula
Jing Fang Bai Du San
Wind cold symptoms plus: Additional symptoms: heavy head and body, distention headache, painful joints, arthririts, spondylitis, low muffled cough, sticky profuse nasal discharge, white greasy tongue coating, soggy pulse
Qiang Huo Sheng Shi Tang
Symptoms: obvious fever, mild aversion to wind, sweating, distention headache, distention in the eyes and flushed face, turbid nasal discharge, sore throat and dry mouth
Tongue: thin yellow coating
Pulse: floating rapid
WIND HEAT ATTACKING THE SUPERFICIES SYNDROME
WIND HEAT ATTACKING THE SUPERFICIES SYNDROME pathogenesis
Pathogenesis: wind heat attacking the lung defense, heat obstructs inside the skin/superficies, affects the lung qi’s dispersing and descending, causing a disharmony with the lung defense
WIND HEAT ATTACKING THE SUPERFICIES SYNDROME formula
Yin Qiao San
Symptoms: occur in the summer, obvious fever, mild aversion to wind, mild sweating, distention and heavy headache, heavy sore body, irritability, thirsty, no desire to drink, sticky mouth, chest oppression,
Tongue: thin yellow, greasy coating
Pulse: soggy rapid
SUMMER DAMP HEAT
SUMMER DAMP HEAT pathogenesis
Pathogenesis: summer damp heat attacking the defensive qi, affecting the middle burner and obstructing the free flow of lung qi
SUMMER DAMP HEAT formula
Xin Jia Xiang Ru Yin
Symptoms: exterior wind cold symptoms with epigastric and abdominal bloating and fullness, belching, nausea, acid reflux, diarrhea
Tongue: red, white greasy thick coating
Pulse: floating, slippery, or deep slippery
STOMACH INTESTINE TYPE COMMON COLD aka Cold Type Stomach Flu
STOMACH INTESTINE TYPE COMMON COLD formula
Huo Xiang Zheng Qi San and Bao He Wan
Symptoms: occur in the autumn, wind heat or wind cold with dry nose and throat, cough without phlegm or little phlegm, thirsty
AUTUMN DRYNESS
AUTUMN COOL DRYNESS formula
Xin Su San
AUTUMN WARM DRYNESS formula
Sang Xing Tan
Symptoms: weak body constitution/weak defensive qi, recurrent onset, difficult to heal completely. Severe aversion to wind, mild fever, no perspiration, headache, body ache, cough white sputum, weak expectoration, fatigue, shortness of breath, dislike speaking, recurrent onset
Tongue: pale, white coating
Pulse: floating, weak
DEFICIENCY TYPE COMMON COLD: QI DEFICIENCY
DEFICIENCY TYPE COMMON COLD: QI DEFICIENCY pathogenesis
Pathogenesis: defensive qi is not firm, general qi deficiency not able to dispel the evil qi (wind cold) out
DEFICIENCY TYPE COMMON COLD: QI DEFICIENCY formula
Shen Su Yin (Si Jun Zi Tang with Er Chen Tang and release the exterior)
Symptoms: severe fever, mild aversion to wind, scanty perspiration, dry cough, scanty sputum, irritability, dizziness, dry mouth
Tongue: red, no coating
Pulse: thready rapid
DEFICIENCY TYPE COMMON COLD: YIN DEFICIENCY
DEFICIENCY TYPE COMMON COLD: YIN DEFICIENCY pathogenesis
Pathogenesis: depleted yin fluids, not enough fluids can be used to supply sweat to dispel wind heat
DEFICIENCY TYPE COMMON COLD: YIN DEFICIENCY formula
Jia Jian Wei Rui Tang
Symptoms: severe aversion to cold, very mild fever, headache, body ache, no sweating, pale face, weak voice, cold limbs, spontaneous sweat
Tongue: pale, puffy, white coating
Pulse: deep, weak
DEFICIENCY TYPE COMMON COLD: YANG DEFICIENCY
DEFICIENCY TYPE COMMON COLD: YANG DEFICIENCY formula
Ma Huang Fu Zi Xi Xin Tang
DEFICIENCY TYPE COMMON COLD: YANG DEFICIENCY treatment principle
Treatment Principle: *boost yang, release exterior
Symptoms: headache, fever, mild aversion to wind, little or no sweat, pale face, lips and nails, palpitations, dizziness. Usually occurs after child labor, bleeding disease, heavy menstruation, bloody stool etc.
Tongue: pale, white coating
Pulse: thready, weak, floating
DEFICIENCY TYPE COMMON COLD: BLOOD DEFICIENCY
DEFICIENCY TYPE COMMON COLD: BLOOD DEFICIENCY treatment principle
Treatment Principle: nourish blood, release exterior
DEFICIENCY TYPE COMMON COLD: BLOOD DEFICIENCY formula
Cong Bai Qi Wei Yin
Cough location
Location: Lung, Liver (restraint relationship), Spleen (child-mother relationship), Kidney (root of qi)
Cough pathological factors
Pathological factors: phlegm and fire
External cough symptoms
External Cough: recent illness, sudden onsent, short duration, lung-defensive systems, excessive, TP: dispel evil qi, benefit lungs, avoid using astringent herbs
Internal cough symptoms
Internal Cough: chronic illness, recurrent attacks, long duration, symptoms involved other systems, pathogenic excessive + healthy qi deficiency, TP: harmonize organs, dispel evil qi and tonify healthy qi, avoid overusing pungent and dispersing herbs
Symptoms: heavy cough sound with muffled voice, white clear sputum, fast breathing, itchy throat, stuffy nose, clear nasal discharge, headache, sore body and limbs, aversion to cold, mild fever, no perspiration
Tongue: thin white coating
Pulse: floating, or floating tight
WIND COLD ATTACKING THE LUNGS COUGH
WIND COLD ATTACKING THE LUNGS COUGH pathogenesis
Pathogenesis: wind cold attacks the lungs, obstructing the lung qi’s dispersing and descending functions
WIND COLD ATTACKING THE LUNGS COUGH treatment principle
TP: disperse wind and cold, expand lungs, relieve cough
WIND COLD ATTACKING THE LUNGS COUGH formula
San Niu Tang (modified Ma Huang Tang) + Zhi Sou San
Symptoms: severe cough, heavy breathing, hoarse voice, cough, dry and sore throat, sticky yellow sputum, yellow nasal discharge, thirsty, headache, sore body, sweat when coughing, aversion to wind, fever
Tongue: red tongue, thin yellow coating
Pulse: floating rapid, or floating slippery
WIND HEAT ATTACKING THE LUNGS COUGH
WIND HEAT ATTACKING THE LUNGS COUGH treatment principle
TP: disperse wind, clear heat, expand lungs, relieve cough
WIND HEAT ATTACKING THE LUNGS COUGH formula
Sang Ju Yin
Throat herbs
Gua Lou Ren, Jie Geng, Niu Bang Zi, She Gan
Symptoms: dry cough, itchy, dry, and sore throat, dry mouth, no sputum or little amount, difficult to spit out, blood streaked sputum, stuffy nose, headache, mild aversion to cold, fever
Tongue: red, dry tongue, thin white or yellow coating
Pulse: floating rapid, or just rapid
WIND DRYNESS DAMAGING THE LUNGS COUGH (late August or early September, mid to late September)
WIND DRYNESS DAMAGING THE LUNGS COUGH pathogenesis
Pathogenesis: wind dryness damages the lung yin, the lungs lack nourishment which affects the normal flow of lung qi
WIND DRYNESS DAMAGING THE LUNGS COUGH treatment principle
TP: disperse wind, clear lungs, lubricate dryness, stop cough
WIND HEAT DRYNESS DAMAGING THE LUNGS COUGH
Sang Xing Tang
WIND COOL DRYNESS DAMAGING THE LUNGS COUGH
Xing Su San
Symptoms: recurrent cough, heavy sound, abundant sticky white sputum, cough can be relieved after expectoration, sputum or little amount, more cough in the morning or after food, especially after eating greasy sweet food, chest oppression, stomach fullness, nausea, poor appetite, fatigue, loose stool
Tongue: white greasy coating
Pulse: soggy, slippery
PHLEGM DAMPNESS OBSTRUCTING THE LUNG COUGH
PHLEGM DAMPNESS OBSTRUCTING THE LUNG COUGH pathogenesis
Pathogenesis: spleen dampness, producing phlegm, obstructing airway and lung, affecting lung qi
PHLEGM DAMPNESS OBSTRUCTING THE LUNG COUGH treatment principle
TP: dry dampness, transform phlegm, regulate qi, stop cough
PHLEGM DAMPNESS OBSTRUCTING THE LUNG COUGH formula
Er Chen Ping Wei San + *San Zi Yang Qin Tang (three seed decoction)
Symptoms: cough, fast breathing, heavy sound or phlegm sounds in the throat, abundant sticky yellow sputum, difficult expectoration, hot foul smelling sputum, spitting out bloody sputum, chest and hypochondriac distention, pain during cough, red face, fever, dry mouth, sticky taste, thirsty.
Tongue: red, thin yellow greasy coating
Pulse: rapid, slippery
PHLEGM HEAT ACCUMULATING IN THE LUNGS COUGH
PHLEGM HEAT ACCUMULATING IN THE LUNGS COUGH pathogenesis
Pathogenesis: retention of phlegm heat obstructs the lung qi and affects its descending function
PHLEGM HEAT ACCUMULATING IN THE LUNGS COUGH treatment principle
TP: clear heat, transform phlegm, down bear lung qi, stop cough
PHLEGM HEAT ACCUMULATING IN THE LUNGS COUGH formula
Qing Jin Hua Tan Tang
Symptoms: frequent cough, red face, dry mouth, bitter taste, difficult expectoration, sticky and scanty sputum, distending pain in the chest and hypochondriac area that gets worse during cough, all symptoms change with emotional fluctuations.
Tongue: red tongue, yellow dry coating
Pulse: rapid, wiry
LIVER FIRE ATTACKING THE LUNGS COUGH
LIVER FIRE ATTACKING THE LUNGS COUGH pathogenesis
Pathogenesis: liver qi stagnation transforms into fire, then the fire travels upward to affect the lung’s function in descending leading to rebellious lung qi and subsequently cough
LIVER FIRE ATTACKING THE LUNGS COUGH treatment principle
TP: clear lungs, soothe the liver, push down upsurging qi, sedate fire, stop cough
LIVER FIRE ATTACKING THE LUNGS COUGH formula
Formula: Dai Ge San (clear liver, remove phlegm) + Xie Bai San (clear lung heat)
Symptoms: dry cough, short and abrupt coughing sound, scanty sputum, blood streaked sputum, hoarseness, dry mouth and throat, tidal fever in the afternoon, red cheeks, night sweats, loss of weight, fatigue
Tongue: red tongue, no coating
Pulse: rapid, thready
LUNG YIN DEFICIENCY COUGH
LUNG YIN DEFICIENCY COUGH pathogenesis
Pathogenesis: lung yin deficiency, empty heat burns inside, the lungs lose moisture and there is cough
LUNG YIN DEFICIENCY COUGH treatment principle
TP: nourish yin, lubricate lungs, transform phlegm, stop cough
LUNG YIN DEFICIENCY COUGH formula
Sha Shen Mai Dong Tang
Asthma definition
Asthma is a paroxysmal condition clinically characterized by rapid and difficult breathing, wheezing sound in the throat, inability to lie flat, dyspnea
Basis of asthma
Hidden phlegm
How is phlegm produced?
Dysfunction of LU SP and KD
Internal causes of asthma
Cold or heat phlegm retention in the lung with weak constitution and lung qi deficiency
External causes of asthma
External pathogenic factors, improper diet, emotional factors
Astham pathogenesis
The internal or external causes trigger the hidden phlegm and the upward movement of phlegm along with the unhealthy qi creates a narrowed airway with wheezing/asthma episode
Difference between Wheezing and Dyspnea
Wheezing: reccurent and intermittent onset with obvious inducing factors, sound in the throat, always occurs with dyspnea
Dyspnea: progressive aggravation and persistent without obvious inducing factor, gasping and rapid breathing, does not necessarily occur with wheezing, no sound in the throat
Symptoms: shortness of breath, wheezing, water sounding gurgle with white clear/bubbly sputum, cough, chest tightness, coldness on upper back, pale complexion
Pulse: floating and tight or just tight
Tongue: pale, white slippery coating
ASTHMA DUE TO COLD
ASTHMA DUE TO COLD treatment principle
TP: warm the lung, disperse cold, dispel phlegm, stop wheezing and relieve asthma
ASTHMA DUE TO COLD formula
She Gan Ma Huang Tang (profuse sputum/phlegm with sore throat type of asthma) or *Xiao Qing Long Tang (with a lot of cold)
Symptoms: shortness of breath, wheezing, loud , rough sound, sticky yellow sputum, chest tightness, wind heat symptoms, thirsty, fever, constipation
Pulse: rapid, slippery or wiry, slippery
Tongue: red, yellow and greasy coating
ASTHMA DUE TO HEAT
ASTHMA DUE TO HEAT treatment principle
TP: clear heat, resolve phlegm, stop wheezing and relieve asthma
ASTHMA DUE TO HEAT formula
Ding Chuan Tang or Yue Bi Jia Ban Xia Tang
Symptoms: weak, low wheezing, expectoration with clear, dilute, or white sputum, wheezing i s always triggered by weather changes, pale face, spontaneous sweating, wind intolerance, susceptibility to common cold, sneezes, runny nose prior to attack
Tongue: pale with a white and thin coating
Pulse: weak
ASTHMA REMISSION STAGE - Lung Deficiency
ASTHMA REMISSION STAGE - Lung Deficiency treatment principle
TP: tonify the lungs, strengthen the superficies
ASTHMA REMISSION STAGE - Lung Deficiency formula
Yu Ping Feng San (Huang Qi, Bai Zhu, Fang Feng)
Symptoms: abundant sputum, fatigue, shortness of breath, dislike to talk, wheezing is always triggered by improper diet, dull yellow face, poor appetite, abdominal bloating, loose stools
Tongue: pale, thin greasy or white and glossy coating
Pulse: thready and weak
ASTHMA REMISSION STAGE - Spleen Deficiency
ASTHMA REMISSION STAGE - Spleen Deficiency treatment principle
TP: strengthen the spleen qi to eliminate phlegm
ASTHMA REMISSION STAGE - Spleen Deficiency formula
Liu Jun Zi Tang (Ren Shen, Bai Zhu, Fu Ling, Zhi Gan Cao, Chen Pi, Zhi Ban Xia)
Symptoms: Severe, frequent shortness of breath and panting during rest, get worse after physical exertion, more exhalation than inhalation, soreness and weakness in the lower back area and knee, wheezing is always triggered by movement
Tongue: pale, puffy and tender tongue
Pulse: thready and deep, thready rapid pulse
ASTHMA REMISSION STAGE - Kidney Deficiency
ASTHMA REMISSION STAGE - Kidney Deficiency treatment principle
TP: tonify the kidney qi to eliminate the phlegm
ASTHMA REMISSION STAGE - Kidney Deficiency formula
Jin Gui Shen Qi Wan - yang deficiency or Qi Wei Du Wi Wan - yin deficiency
Dyspnea definition
A pulmonary disease clinically characterized by difficulty in breathing, even breathing with raised shoulders and open mouth, flaring nostrils and inability to lie down or even collapse in severe cases
Dyspnea subjective symptoms
Patient has a few sensations such as fright, not able to get enough air, intense tightening in the chest or suffocation
Dyspnea objective symptoms
Abnormal breathing frequency, rhythm, and depth
Major dyspnea symptoms
Symptoms: difficulty in breathing, expectoration or no expectoration or no expectoration, breathing with raised shoulders and open mouth, *flaring nostrils, inability to lie down.
Dyspnea location
Location: Lung, Kidney (also related to Liver, Spleen)
Dyspnea etiology and pathogenesis
Key is obstruction of the lung (by qi, not necessarily phlegm) and rebelling of lung qi, upper excess and lower deficient, no hidden phlegm like asthma
Dyspnea key point
Obstruction of lung qi, rebellious lung qi, failing of kidney accepting lung qi
Distinguishing short of breath from dyspnea
Shortness of breath is a beginning stage or compensation stage, dyspnea is a decompensation stage
Symptoms: dyspnea, fast breathing, chest oppression and fullness, cough, white clear sputum, stuffy nose, clear nasal discharge, headache, sore body and limbs, aversion to cold, mild fever, no perspiration, short duration (couple days to one week maximum)
Tongue: thin white or slippery coating
Pulse: floating tight
WIND COLD OBSTRUCTING THE LUNG DYSPNEA
WIND COLD OBSTRUCTING THE LUNG DYSPNEA treatment principle
TP: expand the lungs, disperse wind and cold, stop dyspnea
WIND COLD OBSTRUCTING THE LUNG DYSPNEA formula
Ma Huang Tang
WIND COLD OBSTRUCTING THE LUNG DYSPNEA pathogenesis
Pathogenesis: wind cold attacks the lungs, obstructing the lung qi’s dispersing and descending
Symptoms: dyspnea, wheezing, chest distention or pain, heavy breathing, flaring of nostrils, cough, sticky phlegm, aversion cold, fever, irritability, painful body, sweating or no sweating, thirsty, yellow urination, dry stool
Tongue: red, thin white coating or yellow coating
Pulse: floating rapid or slippery
EXTERIOR WIND COLD INTERIOR PHLEGM HEAT DYSPNEA
EXTERIOR WIND COLD INTERIOR PHLEGM HEAT DYSPNEA pathogenesis
Pathogenesis: either a) exterior cold attack with interior lung stagnant heat or b) exterior cold is not relieved with exterior evil entering inside and changing to heat, heat obstructing lung causing lung qi rebelling upwards
EXTERIOR WIND COLD INTERIOR PHLEGM HEAT DYSPNEA formula
Ma Xing Shi Gan Tang
Ma Huang Tang
Wind Cold
Ding Chuan Tang
Phlegm heat
Ma Xing Shi Gan Tang
Lung heat qi level
She Gan Ma Huang Tang
Cold phlegm retention in Lung, opens throat
Xiao Qing Long Tang
Exterior wind cold with cold phlegm in Lung
Symptoms: dyspnea with cough, distending pain in the chest, abundant sticky and yellow sputum, blood streaked sputum, distention/staring of the eyes, hot sensation in the chest, red face, sweating, dry mouth, like cold drinks, yellow urine, constipation
Tongue: red, yellow greasy coating
Pulse: rapid, slippery
PHLEGM HEAT ACCUMULATING IN THE LUNGS DYSPNEA
PHLEGM HEAT ACCUMULATING IN THE LUNGS DYSPNEA pathogenesis
Pathogenesis: pathogenic heat burnins the lung fulids and condenses the fluid to phlegm, retention of phlegm heat obstructs the lung qi and affects its descending function
PHLEGM HEAT ACCUMULATING IN THE LUNGS DYSPNEA treatment principle
TP: clear heat, transform phlegm, downbear lung qi, stop dyspnea
PHLEGM HEAT ACCUMULATING IN THE LUNGS DYSPNEA formula
Sang Bai Pi Tang
Symptoms: dyspnea with fullness, oppression and suffocation in the chest, cough with abundant sticky and white sputum, difficult expectoration, stomach fullness, nausea or vomiting, poor appetite, sticky taste, not thirsty, loose stool
Tongue: pale tongue, white greasy coating
Pulse: slippery
PHEGM TURBIDITY OBSTRUCTING THE LUNGS DYSPNEA
PHEGM TURBIDITY OBSTRUCTING THE LUNGS DYSPNEA pathogenesis
Pathogenesis: phlegm turbidity due to spleen failing to transport and transform, then phlegm turbidity obstructing the airway and lung, affecting lung qi’s descending
PHEGM TURBIDITY OBSTRUCTING THE LUNGS DYSPNEA treatment principle
TP: transform phlegm, descend lung qi, stop dyspnea
PHEGM TURBIDITY OBSTRUCTING THE LUNGS DYSPNEA formula
Er Chen Tang (spleen qi xu with damp: Zhi Ban Xia, Chen Pi, Fu Ling, Zhi Gan Cao) + San Zi Yang Qin Tang (cold phlegm in the lung: Zi Su Zi, Bai Jie Zi, Lai Fu Zi)
Symptoms: dyspnea with cough, inability to lie down, white and dilute sputum, palpitations, face and eye edema, scanty urination, cold limbs, dull face, purplish lip and nails
Tongue: pale, puffy, or dull and puffy, purple sublingual veins, white slippery coating
Pulse: deep, thready, or choppy
WATER INTIMIDATING THE HEART AND LUNG DYSPNEA
WATER INTIMIDATING THE HEART AND LUNG DYSPNEA pathogenesis
Pathogenesis: excessive water due to kidney yang deficiency, pathogenic water goes up to intimidate the heart and lung, affects the lung qi’s descending function
WATER INTIMIDATING THE HEART AND LUNG DYSPNEA treatment principle
TP: warm the yang, transform water, disperse obstruction, stop dyspnea
WATER INTIMIDATING THE HEART AND LUNG DYSPNEA formula
Zhen Wu Tang + Ting Li Da Zao Xie Fei Tang
Symptoms: dyspnea is always triggered by emotional stimulation, sudden panting, fast breathing, chest oppression and pain, suffocating sensation in the throat without obvious wheezing sound, anxiety and depression at usual time, or insomnia, palpitations or poor appetite, loose stool, irritability, red face and eyes
Tongue: pale, or pink, thin white or thin yellow coating
Pulse: wiry or wiry and rapid
LIVER QI INSULTING THE LUNGS DYSPNEA
LIVER QI INSULTING THE LUNGS DYSPNEA pathogenesis
Pathogenesis: liver qi stagnation affecting the lung qi’s descending
LIVER QI INSULTING THE LUNGS DYSPNEA treatment principle
TP: relieve qi stagnation, descend lung qi, stop dyspnea
LIVER QI INSULTING THE LUNGS DYSPNEA formula
Wu Mo Yin Zi
Symptoms: dyspnea with panting and weak, low sound, snoring sound in the throat, low weak cough, clear dilute sputum, pale face, spontaneous sweating, wind intolerance, susceptibility to common cold, or dry cough with scanty sticky sputum, dry mouth and throat, restlessness, flushed face, or poor appetite, loose stool, slim figure, abundant sputum, more chronic
Tongue: pink or red, peeling coat
Pulse: weak or thready rapid
LUNG DEFICIENCY DYSPNEA: LU/SP deficiency - son steals mother’s qi, metal drain’s earth’s qi
LUNG DEFICIENCY DYSPNEA treatment principle
TP: tonify lungs, nourish yin, stop dyspnea
LUNG DEFICIENCY DYSPNEA formula
Bu Fei Tang (strengthen the spleen, boost middle jiao, boost lung qi, descend lung qi - good for grief and crying) + Yu Ping Feng San (benefit qi, strengthen superficies)
Symptoms: chronic dyspnea, panting, gets worse after physical exertion, more exhalation than inhalation, plus kidney yang deficiency symptoms or kidney yin deficiency symptoms
Tongue: pale, black moist coating or red tongue no coating
Pulse: thready and deep, or thready and rapid
KIDNEY DEFICIENCY DYSPNEA
KIDNEY DEFICIENCY DYSPNEA treatment principle
TP: tonify the kidney, improve qi reception
KIDNEY DEFICIENCY DYSPNEA formula
Jin Gui Shen Qi Wan
Yang deficiency: She Ge San
Yin Deficiency: Qi Wei Du Qi Wan + Sheng Mai San
Symptoms: severe dyspnea, breathing with open mouth and raised shoulders, flapping of the ala nasi, inability to lie flat, feels like dying upon slight physical exertion, palpitations, irritability, cold limbs, purplish lips, bluish face, profuse pearly sweating
Tongue: pale, dull, short, no coating
Pulse: floating without root, or faint, or intermittent
DYSPNEA WITH COLLAPSE - Yang collapse
DYSPNEA WITH COLLAPSE - Yang collapse pathogenesis
Pathogenesis: extreme deficiency of lung and kidney affecting the heart yang and leads towards outward floating of yang qi
DYSPNEA WITH COLLAPSE - Yang collapse treatment principle
TP: restore yang from collapse, strongly improve kidney’s qi reception
DYSPNEA WITH COLLAPSE - Yang collapse formula
Shen Fu Tang + Zi Shi Ying, Ci Shi, Chen Xiang, Ge Jie
Tuberculosis symptoms
Symptoms: cough, hemoptysis, hot flash, night sweat, lose weight
Tuberculosis Location:
Lung, Spleen, Kidney, whole body
Tuberculosis Etiology and Pathogenesis
Lung yin deficiency, infection vs. healthy qi
Symptoms: dry cough, short hasty coughing sound, small amount of sticky phlegm, blood streaked in the phlegm, fresh red color, dull chest pain, hot palms and soles in the afternoon, burning hot skin, dry mouth and throat, mild night sweat
Tongue: red edge, red tip, thin white coating
Pulse: thready, or thready rapid
LUNG YIN DEFICIENCY TUBERCULOSIS
LUNG YIN DEFICIENCY TUBERCULOSIS treatment principle
TP: nourish yin, moisten lung
LUNG YIN DEFICIENCY TUBERCULOSIS formula
Yue Hua Wan (specially designed for tuberculosis lung yin deficiency)
Symptoms: hasty cough with little sticky phlegm or yellow sticky phlegm, large amount, always cough out blood, red color, hot flashes in the afternoon, steaming heat from the bone, five center heat, red cheek, thirst, irritability, insomnia, bad temper, radiating chest pain, seminal emission, irregular period, slim figure
Tongue: red and dry, thin yellow coating or peeling coating
Pulse: thready rapid
YIN DEFICIENCY WITH FIRE TUBERCULOSIS
YIN DEFICIENCY WITH FIRE TUBERCULOSIS treatment principle
TP: nourish yin, descend fire
YIN DEFICIENCY WITH FIRE TUBERCULOSIS formula
Bai He Gu Jin Tang (best formula for lung yin xu and coughing out blood)
Symptoms: cough without power, low cough sound, low voice, clear white phlegm with some blood streaks, or just coughing out blood, pale red color, hot flashes in the afternoon, fear of cold, spontaneous sweating and night sweating, poor appetite, fatigue, loose stool, pale white face
Tongue: pale, teeth marks, thin coating
Pulse: thready, weak, rapid
QI AND YIN DEFICIENCY TUBERCULOSIS
QI AND YIN DEFICIENCY TUBERCULOSIS treatment principle
TP: benefit the qi, nourish yin
QI AND YIN DEFICIENCY TUBERCULOSIS formula
Bao Zhen Tang
Symptoms: loss of muscle, cough with shortness of breath, dyspnea, cough with white phlegm or with blood streaks, dark red or pale red color, hot flashes, spontaneous sweating and night sweating, hoarseness or loss of voice, puffy face, edema in the limbs, palpitation, purplish lips, fear of cold, diarrhea before dawn, tongue or mouth sores, less period blood, amenorrhea, spermatorrhea, impotence.
Tongue: pale, light purplish, dry
Pulse: floating, thready , rapid or big and weak
YIN AND YANG DEFICIENCY TUBERCULOSIS
YIN AND YANG DEFICIENCY TUBERCULOSIS treatment principle
TP: nourish yin and tonify yang
YIN AND YANG DEFICIENCY TUBERCULOSIS formula
Bu Tian Da Zhao Wan
Palpitations definition
Heart palpitations are the feelings of having rapid, fluttering, or pounding heartbeats, uncontrollable, with panic. It is paroxysmal, induced by emotional fluctuation or overstrain.
Palpitations associated symptoms
Associated symptoms: shortness of breath, chest oppression, dizziness, dyspnea, collapse.
Types of palpitations
Includes: Fright Palpitation (mild), or Fearful Throbbing (severe)
Palpitations location
Location: heart, closely related to the lung, liver, spleen, or kidney.
Fright Palpitation
Mostly caused by external trigger factors (fright, anger)
Palpitations at times
New disease
Generallly okay, mild, short duration, functional
Mostly excessive nature
Can for a long time, develop into fearful throbbing
Fearful Throbbing
Mostly caused by internal factors, no external frightening
Always palpitations, especially when over straining
Chronic disease
Generally bad, severe
Mostly deficiency nature
Distinguish between Palpitations and Cardiac Pain
Palpitations: knotted pulse
Cardiac Pain: usually paroxysmal or persistent stabbing or suffocating pain in the pericardial area or posterior aspect of the sternum, usually caused by overstrain, common cold, overeating, emotions
Symptoms: palpitation, uneasiness, susceptible to fright and fear, palpitations is easily induced by fright and worsened by fatigue, chest oppression, shortness of breath, spontaneous sweating, uncomfortable no matter sitting or lying down, dislike loud sounds, insomnia, dreaming a lot, easily woken up
Tongue: pale
Pulse: rapid (throbbing) or thready and wiry
HT QI DEFICIENCY WITH GALLBLADDER TIMIDITY PALPITATIONS
HT QI DEFICIENCY WITH GALLBLADDER TIMIDITY PALPITATIONS treatment principle
TP: relieve fright, nourish the heart, calm the mind
HT QI DEFICIENCY WITH GALLBLADDER TIMIDITY PALPITATIONS formula
An Shen Ding Zhi Wan + Hou Po, Chi Shi
Symptoms: palpitations, shortness of breath, insomnia, dreaming, overworrying, overthinking, fatigue, no energy, dizziness, forgetfulness, pale face without luster, pale lips, poor appetite, abdominal bloating, loose stool
Tongue: pale, thin coating
Pulse: thready, weak
HEART AND SPLEEN DEFICIENCY PALPITATIONS
HEART AND SPLEEN DEFICIENCY PALPITATIONS treatment principle
TP: relieve fright, nourish the heart, calm the mind
HEART AND SPLEEN DEFICIENCY PALPITATIONS formula
Gui Pi Tang
HT QI/YIN DEFICIENCY PALPITATIONS formula
Gui Pi Tang + Sheng Mai San
SEVERE QI/YIN DEFICIENCY PALPITATIONS with intermittent pulse formula
Zhi Gan Cao Tang
Symptoms: palpitations, five center heat, lower back and knee soreness, tinnitus, irritability
Tongue: red, no coating
Pulse: thready, rapid
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY PALPITATIONS
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY PALPITATIONS treatment principle
TP: nourish yin, clear heat, nourish the heart and calm the mind
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY PALPITATIONS formula
Tian Wang Bu Xin Dan (nourish yin and blood) + Zhu Sha An Shen Wan (clear heart fire, induce sedation with heavy settling) + Huang Lian E Jiao Tang (heart and kidney disharmony)
Symptoms: palpitations, restlessness, cold limbs and body, chest stuffiness, shortness of breath, pale or bright pale complexion, aversion to cold, prefer warmth, chest pain
Tongue: pale, white coating
Pulse: weak, deep or thready, deep
HEART YANG DEFICIENCY PALPITATIONS
HEART YANG DEFICIENCY PALPITATIONS treatment principle
TP: warm and tonify heart yang, calm the mind, relieve fright
HEART YANG DEFICIENCY PALPITATIONS formula
Gui Zhi Gan Cao Long Gu Mu Ling Tang + Shen Fu Tang
Symptoms: palpitation, dizziness, chest stuffiness, gastric fullness, edema of face and limbs, if worse edema on the legs, dyspnea, can’t lie down, poor appetite, thirst, no desire to drink, nausea, vomiting, cold limbs and body, difficulty in urination
Tongue: pale puffy with white watery coating
Pulse: wiry, slippery or deep, thready, slippery pulse
WATER FLUID RETENTION INTIMIDATING HEART PALPITATIONS
WATER FLUID RETENTION INTIMIDATING HEART PALPITATIONS treatment principle
TP: warm and tonify heart yang, calm the mind, releive fright
WATER FLUID RETENTION INTIMIDATING HEART PALPITATIONS formula
Ling Gui Zhu Gan Tang (SP yang xu)
Severe case: Zhen Wu Tang (KD yang Xu)
Xiao Qing Long Tang: external cold with internal fluid
Symptoms: palpitations, restlessness, chest stuffiness, occasional chest pain, hypochondrium pain, sighing, cold limbs, face/lips dark purple, nails and fingers are blue
Tongue: dark purple, purple stasis spots
Pulse: knotted, intermittent
OBSTRUCTION OF HEART BLOOD PALPITATIONS: HT yang xu, heart qi stagnation, heart blood stasis
OBSTRUCTION OF HEART BLOOD PALPITATIONS treatment principle
TP: promote blood circulation, resolve stasis, regulate qi and activate the collaterals
OBSTRUCTION OF HEART BLOOD PALPITATIONS formula
Tao Ren Hong Hua Jian
Symptoms: palpitation, chest stuffiness, chest oppression and fullness, poor appetite, abdominal bloating, nausea, vomiting, irritability, insomnia, dry, bitter mouth, yellow urine, constipation
Tongue: white greasy or yellow greasy coat
Pulse: slippery, wiry
PHLEGM TURBIDITY DISTURBING THE SHEN PALPITATIONS
PHLEGM TURBIDITY DISTURBING THE SHEN PALPITATIONS treatment principle
TP: regulate qi, remove phlegm, calm the heart mind
PHLEGM TURBIDITY DISTURBING THE SHEN PALPITATIONS formula
Dao Tan Tang
Huang Lian Wen Dan Tang (phlegm fire)
Transient insomnia:
symptoms present for less than one week
Short term insomnia:
symptoms for 1-4 weeks
Chronic insomnia:
symptoms present for more than one month
Insomnia location
Location: HT, related to LV, GB, ST, SP, KD
Symptoms: insomnia, irritability, impatience, easy to get frustrated or angry, severe case: can’t sleep throughout the entire night; chest oppression, hypochondria pain or distention, thirsty with the desire to drink water, poor appetite, bitter taste in the mouth, red face, tinnitus, yellow urine, dizziness, blurred vision, severe headache, constipation
Tongue: red, yellow coating, dry yellow coating
Pulse: wiry, rapid, or wiry, rapid, slippery
LIVER QI STAGNATION TRANSFORMING INTO FIRE INSOMNIA
LIVER QI STAGNATION TRANSFORMING INTO FIRE INSOMNIA treatment principle
TP: soothe the liver, purge fire, tranquilize the heart, sedate the mind
LIVER QI STAGNATION TRANSFORMING INTO FIRE INSOMNIA formula
Formula: Long Dan Xie Gan Tang
Symptoms: insomnia, heavy head, profuse phlegm, chest oppression, irritability, nausea, vomiting, belching, bitter taste in the mouth, blurred vision, constipation, can’t sleep the entire night
Tongue: red, yellow greasy coating
Pulse: rapid, slippery
INTERNAL DISTURBANCE OF PHLEGM HEAT INSOMNIA
INTERNAL DISTURBANCE OF PHLEGM HEAT INSOMNIA treatment principle
TP: clear heat, remove phlegm, harmonize the middle jiao, sedate the mind
INTERNAL DISTURBANCE OF PHLEGM HEAT INSOMNIA formula
Huang Lian Wen Dan Tang
Meng Shi Gun Dan Wan (for constipation, can’t sleep throughout the whole night due to severe phlegm heat)
Bao He Wan (for severe indigestion: fetid eructation, sour regurgitation, epigastrium, abdominal distention)
Symptoms: insomnia, dream disturbed sleep, palpitation, forgetfulness, dizziness, blurred vision, pale face without luster, pale lips, not enjoying food, lazy limbs, fatigue, no energy, epigastric opression, abdominal bloating, loost stool
Tongue: pale, thin coating or watery/greasy
Pulse: thready, weak or soggy, slippery
HEART AND SPLEEN DEFICIENCY INSOMNIA
HEART AND SPLEEN DEFICIENCY INSOMNIA treatment principle
TP: tonify heart and spleen, nourish blood and calm the mind
HEART AND SPLEEN DEFICIENCY INSOMNIA formula
Gui Pi Tang
Symptoms: insomnia, irritability, palpitations, dizziness, tinnitus, forgetfulness, fice venter heat, lower back and knee soreness, dry mouth
Tongue: red, no coating
Pulse: thready rapid
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY INSOMNIA
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY INSOMNIA treatment principle
TP: nourish yin, reduce fire and nourish heart, calm the mind
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY INSOMNIA formula
Tian Wang Bu Xin Dan (nourish yin and blood) + Zhu Sha An Shen Wan (clear heart fire, induce sedation with heavy settling)
Huang Lian E Jiao Tang (HT/KD disharmony)
Symptoms: insomnia, dream disturbed sleep, easy to wake up with fear, uneasiness, susceptible to fright and fear, hyperarousal, palpitations, shortness of breath, fatigue, dizziness, blurred vision, dry mouth
Tongue: pale or red
Pulse: wiry, thready or wiry, weak
QI DEFICIENCY OF HEART AND GALLBLADDER INSOMNIA
QI DEFICIENCY OF HEART AND GALLBLADDER INSOMNIA treatment principle
TP: benefit qi, relieve fright, calm the mind, sedate the soul
QI DEFICIENCY OF HEART AND GALLBLADDER INSOMNIA formula
Formula: An Shen Ding Zhi Wan + Hou Po, Chi Shi
Chest bi mild case
Mild case: suffocated chest stuffiness, unsmooth respiration
Chest bi moderate case
Moderate case: chest stuffiness, fullness, dull pain
Chest bi severe case
Severe case: stabbing or colic pain, pain radiates to left neck, left shoulder, or left arm, or left upper back, dyspnea, can’t lie flat
Chest bi pain areas
Pain areas: chest, below the neck, above abdomen (diaphragm)
Chest bi symptoms
Symptoms: pain, stuffiness, difficulty breathing
Chest bi location
Location: heart (also liver - free flow qi, spleen - ascend clear qi, kidney - kidney yang support heart yang, essence nourishes heart)
Symptoms: stabbing pain with a fixed position, pain gets worse at night, intermittent palpitations, uneasiness, dark purple tongue, deep choppy or wiry choppy, knotted, intermittent
HEART BLOOD OBSTRUCTION (BLOOD STASIS) CHEST BI
HEART BLOOD OBSTRUCTION (BLOOD STASIS) CHEST BI treatment principle
TP: warm, tonify, open heart yang
HEART BLOOD OBSTRUCTION (BLOOD STASIS) CHEST BI formula
Xue Fu Zhu Yu Tang
Symptoms: chest stuffiness and oppressive pain, may radiate to the shoulder and back, SOB, fatigue, heavy sensation in the limbs, profuse sputum, sometimes stabbing/burning pain
Tongue: pale or dark purple tongue, greasy coating
Pulse: slippery, wiry-slippery, or slippery-rapid
INTERNAL OBSTRUCTION OF PHLEGM TURBIDITY CHEST BI
INTERNAL OBSTRUCTION OF PHLEGM TURBIDITY CHEST BI treatment principle
TP: activate the yang, dispel turbidity, resolve phlegm, open the blockage
INTERNAL OBSTRUCTION OF PHLEGM TURBIDITY CHEST BI formula
Formula: Gua Lou Xie Bai Ban Xia Tang
Symptoms: chest colic pain radiating to the back, worse with cold, chest stuffiness, SOB, palpitations, pale face, cold limbs, dyspnea with inability to lie flat, pale tongue white coating, deep and thready or deep and tight pulse
YIN COLD RETENTION CHEST BI
YIN COLD RETENTION CHEST BI treatment principle
TP: warm and activate yang, unblock the obstruction and dissipate cold
YIN COLD RETENTION CHEST BI formula
Gua Lou Xie Bai Bai Jiu Tang + Dang Gui Si Ni Tang
Symptoms: chest oppression and distention pain that comes and goes, no fixed location, sighing, worse after emotional fluctuation, epigastric or abdominal bloating, better after belching, thin or thin greasy coating, thready wiry pulse
QI STAGNATION IN THE HEART AND CHEST CHEST BI
QI STAGNATION IN THE HEART AND CHEST CHEST BI treatment principle
TP: regulate qi, harmonize blood, regulate vessel
QI STAGNATION IN THE HEART AND CHEST CHEST BI formula
Chai Hu Su Gan San (IMPORTANT PAINKILLER FORMULA)
Symptoms: chest stuffiness and burning pain, palpitations, irritability, insomnia, night sweats, lower back and knee soreness, tinnitus, dizziness, blurry vision, red tongue with no coating, rapid and thready pulse
HEART/KIDNEY YIN XU CHEST BI (least common)
HEART/KIDNEY YIN XU CHEST BI treatment principle
TP: nourish kidney yin, benefit the heart, calm the mind
HEART/KIDNEY YIN XU CHEST BI formula
Formula: Zuo Gui Yin or Tian Wang Bu Xin Dan
Symptoms: dull chest pain and chest stuffiness, on and off, palpitations, SOB, fatigue, pale face, spontaneous sweating, tender tongue, red, with teeth marks, pale purple with thin white coating, pulse is weak, soggy, threaddy, or knotted, or intermittent
HEART QI DEFICIENCY CHEST BI
HEART QI DEFICIENCY CHEST BI treatment principle
TP: benefit qi, nourish heart, awaken the heart vessels
HEART QI DEFICIENCY CHEST BI formula
Formula: Bao Yuan Tang
Heart qi and yin deficiency chest bi formula:
Sheng Mai San
Symptoms: chest pain and stuffiness, SOB, get worse when it’s cold, palpitations, spontaneous sweating, knee and lower back soreness, fatigue, stomach cold, cold limbs, pale nails and lips, pain radiates to the back, purple lip, dyspnea, can’t lie flat, edema in face and feet, pale or dark purple and white coating, deep thready or knotted intermittent pulse
HEART/KIDNEY YANG XU CHEST BI
HEART/KIDNEY YANG XU CHEST BI treatment principle
TP: benefit qi, warm yang, circulate the blood, unblock collaterals
HEART/KIDNEY YANG XU CHEST BI formula
Shen Fu Tang + You Gui Yin
Dizziness/vertigo mild case
Mild case: vertigo may stop spontaneously by closing eyes for awhile
Dizziness/vertigo severe case
Severe case: vertigo may feel like sitting in a boat or a car, spinning, inability to stand for a long period of time with symptoms such as nausea, vomiting, sweats, or collapse.
Dizziness/vertigo location
Location: Brain, LV, SP, KD
Dizziness/vertigo Key point of pathogenesis:
orifices failing to be nourished
Symptoms: vertigo, feeling like about to faint, distention headache, red face, tinnitus, eyes and face red, irritability, easily angered, tremor, numbness of limbs, lower back, knee soreness, palpitations, forgetfulness, insomnia, dream disturbed sleep, symptoms get worse with over strain or anger, tongue is red with thin yellow coat, pulse is wiry, thready, rapid.
*HYPERACTIVITY OF LIVER YANG DIZZINESS/VERTIGO (most important one)
*HYPERACTIVITY OF LIVER YANG DIZZINESS/VERTIGO treatment principle
TP: soothe liver, subdue yang, nourish the liver and kidney
*HYPERACTIVITY OF LIVER YANG DIZZINESS/VERTIGO formula
Formula: *Tian Ma Gou Teng Yin
Symptoms: vertigo, gets worse after physical exertion, always triggered by overstrain, fatigue, dislike to talk, no power, spontaneous sweating, pale face, no luster, pale lips and nails, palpitations, insomnia, tender tongue with pale thin coating, weak thready pulse
QI AND BLOOD DEFICIENCY DIZZINESS/VERTIGO
QI AND BLOOD DEFICIENCY DIZZINESS/VERTIGO treatment principle
TP: tonify qi and blood, strengthen the spleen and stomach
QI AND BLOOD DEFICIENCY DIZZINESS/VERTIGO formula
Gui Pi Tang - good for maintenance but not strong enough for acute
Symptoms: vertigo with a sensation of being wrapped with a heavy towel in the head, spinning objects, chest stuffiness, epigastric fullness, nausea, vomiting phlegm or saliva, poor appetite, fatigue, tongue is puffy with teeth marks, greasy white coating, wiry and slippery pulse
PHLEGM TURBIDITY OBSTRUCTING THE MIDDLE JIAO DIZZINESS/VERTIGO
PHLEGM TURBIDITY OBSTRUCTING THE MIDDLE JIAO DIZZINESS/VERTIGO treatment principle
TP: dry the damp, resolve phlegm, boost spleen, harmonize the stomach
PHLEGM TURBIDITY OBSTRUCTING THE MIDDLE JIAO DIZZINESS/VERTIGO formula
*Ban Xia Bai Zhu Tian Ma Tang
Symptoms: vertigo, blurred vision, tinnitus like cicada singing, poor sleep, dream disturbed sleep, lassitude, poor memory, lower back and knee soreness, red tongue with scanty coating, thready and rapid pulse
KIDNEY ESSENCE DEFICIENCY DIZZINESS/VERTIGO
KIDNEY ESSENCE DEFICIENCY DIZZINESS/VERTIGO treatment principle
TP: nourish the liver and kidney, replenish essence and nourish yin
KIDNEY ESSENCE DEFICIENCY DIZZINESS/VERTIGO formula
Zuo Gui Wan
Symptoms: frequent vertigo, stabbing headache with a fixed position, dark facial complexion, purple dark lips and nails, squamous and dry skin, forgetfulness, palpitations, insomnia, tinnitus, deafness, tongue is purple or purplish spots, pulse is choppy, thready-choppy
STAGNANT BLOOD OBSTRUCTING THE BRAIN COLLATERALS DIZZINESS/VERTIGO
STAGNANT BLOOD OBSTRUCTING THE BRAIN COLLATERALS DIZZINESS/VERTIGO treatment principle
TP: resolve stasis, generate new blood, clear collaterals, open the orifices
STAGNANT BLOOD OBSTRUCTING THE BRAIN COLLATERALS DIZZINESS/VERTIGO formula
Tong Qiao Huo Xue Tang
