Tonify Qi, Tonify Blood Flashcards

Question

Application of Sheng Mai San?

Answer 1

simultaneous (pure) LU Qi def + Yin def ``` s/s: chronic cough w/ sparse sputum SOB spontaneous sweat dry mouth and tongue ``` Story: Franken Ferret is Qi and Yin def. There is nothing left in LU's but 1 root of Ren Shen to help generate fluids and tonify Source Qi. Keeps coughing up sputum (chronic cough w/ sputum hard to get rid of). Close up, can see mouth and tongue are very dry. Egor, rings the MaiDong white bell and tells Dr. Yin Turtle how hard it will be for Franken to breathe (SOB). Dr. Yin Turtle starts to sweat purple wu wei zi's spontaneously out of worry.

Answer 2

Ren Shen: helps Source Qi, which helps LU Qi, regulate interstices and pores generates fluids, calms shen

Answer 3

Tonify Qi, generate fluids Preserves Yin Stops excess sweating

Answer 4

1. Late stage fever consuming Yin and Qi leading to def of both 2. Summer heat: profuse sweating leads to Qi and Yin def s/s: lassitude, SOB, hates to talk/socialize, dizzy, low spirits, thirst, empty and rapid pulse 3. Long Term Cough: LU Qi def leads to dry cough, SOB, spontaneous sweat, dry mouth and tongue, empty pulse

Answer 5

For marked palpitations + Gui zhi (Cinnamomi Ramulus, Cinnamon Twig, Cassia Twig) → sweet, spicy, warm | WARE + long gu (Fossilia Ossis Mastodi) → sweet, astringent, neutral | Calm Shen + Mu li (Ostreae Concha) → salty, astringent, cool | Calm Shen For coronary artery disease + Zhi gan cao (Glycyrrhizae Radix preparata) → sweet, warm | Tonify Qi + Dan shen (Salviae miltiorrhizae Radix) → bitter, sl cold | Regulate Blood, Invigorate (targets Coronary Artery specifically) + Hong hua (Carthami Flos, Safflower) → spicy, warm | Invigorate Blood + Chi shao (Paeoniae Radix rubra) → sour, bitter, sl cold | Invigorate Blood

Answer 6

For marked palpitations + Gui zhi (Cinnamomi Ramulus, Cinnamon Twig, Cassia Twig) → sweet, spicy, warm | WARE + long gu (Fossilia Ossis Mastodi) → sweet, astringent, neutral | Calm Shen + Mu li (Ostreae Concha) → salty, astringent, cool | Calm Shen For coronary artery disease + Zhi gan cao (Glycyrrhizae Radix preparata) → sweet, warm | Tonify Qi + Dan shen (Salviae miltiorrhizae Radix) → bitter, sl cold | Regulate Blood, Invigorate (targets Coronary Artery specifically) + Hong hua (Carthami Flos, Safflower) → spicy, warm | Invigorate Blood + Chi shao (Paeoniae Radix rubra) → sour, bitter, sl cold | Invigorate Blood

Answer 7

``` Huang Qi Bai Zhu Fang Feng - all 3 x very warming = HOT - drying, the wind can dry out the toothmarks seen on tongue (cold-damp) ```

Answer 8

``` Deficient Wei Qi s/s: aversion to wind, spontaneous sweat, recurrent colds, shiny, pale complexion T: pale w/ white coating P: floating-moderate ``` Story: Ferret scaling up Jade building, wearing bullet proof vest to protect his Wei Qi, but wind is tearing through it (def Wei Qi). The SWAT ferret is pale in complexion and shiny, and is having a hard time with the wind (aversion to wind/drafts). He's carrying and arsenal of cold meds b/c of his recurrent cold. But careful! His sweating feet are making this dangerous (spon. sweat).

Answer 9

Huang Qi: firms superficial aspect of LU and SP

Answer 10

Augment Qi Stabilize exterior stops sweating

Answer 11

Wei Qi def | or loose intersticial layer from constitutional weakness, susceptible to wind

Answer 12

For chronic or allergic rhinitis with the appropriate presentation + xin yi hua (Magnoliae Flos) → spicy, sl warm | WARE + cang er zi (Xanthii Fructus) → bitter, sweet, warm, toxic | WARE + bai zhu (Angelicae dahuricae Radix) → bitter, sweet, warm | Tonify Qi ``` For hypotension (low blood pressure) + sheng mai san (Generate the Pulse Powder) → Tonify Qi Formula ```

Answer 13

``` Huang Qi Ban Xia Ren Shen Gan Cao Du Huo Fang Feng Bai Shao Qiang Huo Chen Pi Fu Ling Chai Hu Ze Xie Bai Zhu Huang Lian* Sheng Jiang Da Zao ``` - all are warming, except huang lian

Answer 14

``` SP and ST Qi def + retention of damp-heat in Lower Jiao - patient with s/s: loss of taste abdominal fullness and distention irregular bowels heavy sensations of limbs (wind-cold-damp) pains of joints (bi syndrome, painful obstructing syndrome) chills/aversion to wind pale face dizziness lassitude sleepiness dark and scanty urine dry mouth, tongue ```

Answer 15

``` Huang Qi Ren shen bai zhu gan cao dang gui chen pi sheng ma (horses tail looking herb), CARE chai hu ```

Answer 16

Huang Qi: augments Qi and raises Yang Qi of SP/ST | LU Qi first to be cut off from Earth b/c it is child of SP/ST

Answer 17

Tonify Qi of MJ | Raise sunken Yang Qi

Answer 18

key symptoms: SOB, dislikes talking, poor appetite, lassitude T: pale tongue w/ white coat P: weak 3 different patterns: a) SP/ST def, Cant Raise Clear Yang (via shao yang channels) s/s: dizzy, unsteadiness, blurred vision, deafness, tinnitus, SOB, laconic speech, shiny-pale complexion, loose stool, bearing down sensation T: pale P: frail b) Qi def Fever//Qi def leading to Qi Stagnation not reaching Outwards s/s: intermittent fever (false heat), worse on exertion, spontaneous sweating, aversion cold, thirst w/ desire for warm drink P: big but empty c) Sinking of SP Qi s/s: prolapse of rectal and internals, hemorrhoids, chronic diarrhea, dysentery, irregular uterine bleeding others: SP/ST qi def ... failing to control s/s: bleeding, prolonged diarrhea, freq urination, incontinence of urine Story: a) Forest ferret has given up trying to RAISE CLEAR YANG, and ties it to his MJ. Her face is shiny and pale (complexion), and her poor vision and unsteady gait makes it hard for her to stay on the path. The ringing in her eat is also making it hard to concentrate and would rather be deaf (tinnitis, deafness). Hasnt eaten in days and has no interest in the fruit trees nearby that hold a horse tail herb, Sheng Ma (decreased desire to eat). She carries her bag full of loose stools and notices a quick sand pit ahead. She tries to yell out to her companion, but her laconic voice is too weak to be heard. b) Qi Def w/ Fire or Heat Blurred vision ferret ends up in the cold quick sand. She struggles but is stuck and a fever erupts from the stagnation. She tries to escape, and breaks out into a spontaneous sweat. The more she exerts, the higher the fever. Breaks to take a drink of piping hot liquid from the thermos (prefers warm drinks). Despises the coldness of the quick sand (loathes cold). c) Doomed Ferret w/ Sinking MJ The ferret in the quick sand is now happy baby pose, but MJ is sinking deeper. Her asshole and uterus are sinking out of body cavity (prolapsed rectum and uterine). Her friend sits near by on his loose stool, leaking diarrhea into the sand pit and some uterine blood in there as well (chronic diarrhea, dysentery + irreg. uterine bleeding). Both will die: one by sinking MJ and the other from not eating (loss of appetite).

Answer 19

Def fever... Def Qi, causing internal stagnation, leading to false heat, sweating, thirst for warm drinks P: big but empty

Answer 20

Tonify Qi of MJ by raising Yang, and draining fire with sweet and cooling substances second is Clear Heat

Answer 21

Not to be used for Fever d/t Yin def

Answer 22

For prolapse of internal organs | + chi shi zhi | Stabilize and Bind, sour, astringent, sweet, warming

Answer 23

1. Ju Yuan Jian (Lift Source Decoction) 2. Sheng Xian Tang (Raise Sinking Decoction) 3. Yi Qi Cong Ming Tong (Augment Qi, Increase Acuity Decoc) 4. Jia Jian Bu Zhong Yi Qi Tang (Modified Tonify Middle to Augment Qi Decoct.) 5. Tiao Zhong Ti Qi Tang (Reg. Middle to Augment Qi Decoct) 6. Bu Pi Wei Xie Yin Huo Sheng Yang Tang (Tonify SP/ST, Drain Yin Fire, Raise Yang Decoction)

Answer 24

What are ingredients of Si Jun Zi Tang?

Answer 25

``` ren shen bai zhu fu ling gan cao shan yao lian zi yi yi ren jie geng ```

Answer 26

SP Qi def w/ dampness Tonifies deficient, drains damp, moves stagnation, regulates Qi - stronger function of Tonification than Si Jun Zi Tang. - can drain damp as well as tonify LU Qi

Answer 27

SP Qi def w/ dampness in men and women Key s/s: pale complexion, decreased app, loose stools or diarrhea, distention of epigastrium, vomit or diarrhea, lassitude, weak limbs In women, vaginal discharge, pale complex, loose stool, over weight/edema T: pale tongue w/ white greasy coating P: empty, weak, soggy pulse STORY: Restaurant with Fountain of a pig who lost his SP. Continuously spits of stream of H20 (SP Qi def w/ internal damps). Waiter waits patiently while patron slips on his loose stool (loose stool, diarrhea). He pretends not to notice the accident, stands at attention with his distended chest and epigastrium sticking up (distended chest, stifling sensation in epigastrium). Begins to serve small portions of food to patrons b/c they have small appetite (decreased appetite). Hopes patron will order more, but guest vomits the little food in his mouth, falls from chair b/c hes so frail and pale. His companion, the femme ferret is in the bathroom, powdering her face even more pale. She waits to be served but shes over edemic in Lower Limbs, so the waiter will refuse to serve her. The chair shes sat in is covered in vaginal discharge. On the way back from the bathroom, shes left a trail of diarrhea dragging under her dress and fat thighs.

Answer 28

``` Ren Shen Bai Zhu Fu Ling Gan Cao - the 4 gentlemen ```

Answer 29

Tonify Qi, Strengthen SP Elim. damps, stops diarrhea

Answer 30

SP/ST Qi def with damp accumulation | LU QI def = chronic cough w/ profuse sputum

Answer 31

Earth: SP/ST is needed to make Gu Qi which is generated into Qing Qi, made by the Lungs

Answer 32

Si Jun Zi Tang - 4 Gentlemen

Answer 33

ren shen bai zhu fu ling can cao + chen pi +

Answer 34

a. for cough + chen pi + ban xia + xing ren b. For diabetes mellitus huang qi wu wei zi And ji nei jin

Answer 35

- both tonify Qi and help SP. - differnce is that 4 Gents focuses solely on those functions, while Shen Ling also harmonizes ST, leaches damp, tonifies LU. - esp suited for treatment of chronic diarrhea or other leaks d/t SP def and damps

Answer 36

- both treat SP Qi def complicated by damp-phlegm - each "cultivate earth to generate metal," however 6 Gents contains Ban Xia and Chen Pi, both acrid and dry ... better at drying damp and transforming phlegm - Shen Ling contains bland and sweet herbs that promote water metabolism and secure essence, better for chronic def disorders manifesting with loss of essence or damaged Yin

Answer 37

Qi Wei Bu Zhu San Ingred: Si Jun Zi Tang (ren shen, bai zhu, fu ling, gan cao) + mu xiang, huo xiang ye, ge gen (kudzu root, CARE) Funct: strengthen SP and stop diarrhea Application: persisten vomiting, diarrhea d/t SP and ST def (esp. children)

Answer 38

Qi def, specifically SP Qi def ``` s/s: poor appetite loose stool pale complexion SOB, weak voice fatigue, weak limbs P: thready/weak deep/moderate ``` Story: We work too hard, feels like our SP has left us (SP Qi def). Ferrets' SP overworked and tired, sneaks away to nap. Ferret is A-type, taken toll on Spleen (like Cora). Small appetite, throws his hot dog on floor. He can't eat, but he doesnt have strength in his limbs to hold his brief case (weak limbs) and can't run to work (weak legs). Tries to hail cab, but voice too feeble to call cab. Driver would have passed him anyway, he's so pale!

Answer 39

For indigestion, reduced appetite, abdominal distention, and weight loss + xiang fu (Cyperi Rhizoma) → spicy, sl bitter, sl sweet | Regulate Qi + huo po (Magnoliae bark) → spicy, warm, aromatic | Aromatics that Transform/Dissolve Damp Morning Sickness + Sha Ren + Chen Pi + Huo Po Edema during Pregnancy + Wu Pi Yin (5 peel drink)

Answer 40

SP Qi def ... can't T/T sufficiently ... LU/SP Qi def

Answer 41

Liu Jun Zi Tang

Answer 42

damp-phlegm - Dries dampness, reduces phlegm, regulates the Qi, and harmonizes the Middle Jiao - ingred: ban xia, ju hong, fu ling, gan cao ``` s/s: Nausea, vomiting, cough with easy expectoration of copious white sputum Epigastric and chest distention and fullness. Palpitations and dizziness. Western Med: Chronic Tracheitis Bronchitis Pulmonary Emphysema Goiter ```

Answer 43

Xiang Sha Liu Jun Zi - 6 Gents w/ Mu Xiang and Sha Ren - strengthens SP, harmonizes ST, regulates Qi, and alleviates PAIN s/s: reduced appetite w/ feeling full after eating little belching abdom distention/pain vomit/diarrhea Story: One ferret from principal formula of Liu Jun Zi Tang makes poor choices. Eats donuts and cold sludge slurpees for breakfast = cold + damp in the MJ (ST/SP Qi def with damp, cold stagnation). Ferret takes one bite of donut and already feels full (decreased appetite w/ feeling full after eating very little). BELCHES and holds stomach ( abdom. distention and pain). Throws up and diarrheas in the cafeteria. Luckily hes brought his blow drying and sneakers, to dry out the vomit and move out of there quickly (more drying and moving than original)!

Answer 44

Liu Jun Zi Tang (Mu) Xiang Sha (Ren) Yang Wei Tang - Nourish ST Decoction with Auklandia and Amonum - variation of Liu Jun Zi Tang - more drying, more moving - strengthen MJ, resolves dampness AND coldness in MJ - Xiang Sha Liu Jun Tang (with Mu Xiang and Sha Ren) without Ban Xia s/s: loss appetite and taste, inability to eat normal amounts, bloating, epigastrium discomfort, morning sickness

Answer 45

xiang sha yang wei tang

Answer 46

shu di huang bai shao dang gui chuan xiong

Answer 47

blood def and blood stasis, regulate menses

Answer 48

General Blood def s/s: pale complex, pale lips, nails, dizzy, blurred vision, palpitations, insomnia, numb limbs, delayed menses, amenorrhea, poor memory, dry hair and nails 1) LR Blood def - dizzy - blurred vision - tinnitus - pale face/nails T: pale P: thready, wiry, choppy 2) Irregular menses d/t blood def - heavy or scanty menstrual flow or no menstrual flow - lower abdom pain Story of Si Wu Tang: Bat Town where nobody has enough blood! The Bai Shao Blood Bank is falling apart without proper deposits (blood def and stagnation). Shops are busy downtown, in lusterless Nail boutique, a pale bat is getting her nails did. Leaving the Bai Shao Blood Bank, a tense bat pushes his dang gui baby carriage with restless baby (tense muscles, restless fetus). The dad is very thin, his body weak, lacking strength without blood supply. You can see his HT palpitating out of his chest (palpitations). At the blood bank, a dizzy and blurry eyed woman is about to make a blood deposit. She must not have seen the Shu Di Huang paper this morning with headlines: "LITTLE FLOW, Save Your Reserves!" The other headline read: Meno-Rhagggging bats, Beware.

Answer 49

LR Blood def and stagnation

Answer 50

nourish blood, | regulate LR/menses

Answer 51

Shu Di Huang

Answer 52

- acute or severe blood loss | - careful with shu di huang with patients that have weak SP

Answer 53

lusterless complex and nails, pale tongue, thready pulse

Answer 54

a. dysmenorrhea d/t blood def and blood stagnation + xiang fu b. for blood def w/ cold + rou gui + pao jiang c. blood def w/ heat + mu dan pi | spicy, bitter, cool + huang qi

Answer 55

1. Shen Yu Tang (Like Healing Decoction) - controls blood - tonifies Qi and blood - applied for Qi and Blood def 2. Tao Hong Si Wu Tang (Substance decoction with Safflowerand Peach Pit) - nourish blood, invigorate blood, dissolves blood stasis - applied for blood def w/ blood stasis 3. Jiao Ai Tang (Ass Hide Mugwort) 4. Wei Qing Yin (Warming and Clearing Drink) 5. Qin Lian Si Wu Tang (Four Substance with Scutellaria and Coptis) 6. Bu Gan Tang (Tonify LR) 7. Yu Zhu San (Jade Candle Powder) 8. Jia Wei Si Wu Tang (Augmented 4 Substance) 9. Dang Gui Ji Xue Teng Tang (Dan Gui and Spatholobus) 10. Qi Wu Jiang Xia Tang (7 Substance Decocotion for Directing Down)

Answer 56

def heat from blood def and floating yang Qi

Answer 57

Huang Qi Dang Gui 5:1 ratio

Answer 58

helps to tonify qi and generate blood