Tonify Qi, Tonify Blood Flashcards

1
Q

What are the ingredients in Si Jun Zi Tang?

A

Chief Herb: ren shen (sweet, bitter, warm)
Deputy: bai zhu (bitter and warm)
Assistant: fu ling (sweet, bland)
Envoy: gan cao (warm, sweet, earthy)

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2
Q

Best way to remember Si Jun Zi Tang?

A

Shen-Zhu-Ling-Cao

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3
Q

Of the ingredients in Si Jun Zi Tang, what are the categories of each?

A
Ren Shen (Tonify Qi)
Bai Zhu (Tonify Qi)
Fu Ling (Drains Damp)
Gan Cao (Tonify Qi)
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4
Q

What is the Chief Herb of Si Jun Zi Tang?

A

Ren Shen (3-9g)

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5
Q

Treatment principle (what does the formula do) for Si Jun Zi Tang formula?

A

Tonify Qi, Strengthen SP

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6
Q

Pathogenesis (manner of development of a disease) of Si Jun Zi Tang formula?

A

SP Qi Def

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7
Q

In Si Jun Zi Tang, Ren Shen + Bai Zhu combined have what function?

A

Strengthen T/T function of SP

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8
Q

In Si Jun Zi Tang, Bai Zhu + Fu Ling combined have what function?

A

drains damps, water and edema

leaches out the dampness

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9
Q

Why is Si Jun Zi Tang a basic formula for tonifying Qi?

A

Because distinguishing characteristics of 4 herbs are harmonious and moderate in nature.
This formula opens Qi dynamic without use of acrid, Qi Moving herbs (moving herbs are typically warm and dry).

Also, original does of formula is much lower that whats used today.
- many formulas with function to Tonify Qi or strengthen SP derive from this formula.
- key differentiation: dull complexion, decreased appetite, T: pale tongue white coating
P: weak and empty

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10
Q

Associated Formulas of Si Jun Zi Tang

A
  1. Yi Gong San (Extraordinary Merit Powder):
    - focuses on moving Qi, harmonizes ST
    - treats SP def leading to irreg appetite w/ distended sensation in chest and epigastrium, sometimes vomit and nausea
    - good for kids
    - Si Jun Zi + Chen Pi
  2. Liu Jun Zi Tang (6 Gentlemen Decoction): strengthen SP, transforms phlegm, stops vomit (barf bag)
    - SI Jun Zi + Er Chen Tang
    (chen pi + ban xia)
  3. Xiang Sha Liu Jun Zi Tang ( 6 Gents w/ Mu Xiang and Sha Ren): strengthens SP, harmonizes ST, regulates Qi, and alleviates PAIN
    * Mu Xiang | Reg Qi, spicy, bitter, warm
    * Sha Ren | Aromatics Transform Damp, spicy, warm, aromatic
  4. Xiang Sha Yang Wei Tang (Nourish ST Decoction with Auklandia and Amonum)
    - strengthen SP/ST, resolves DAMP-COLD in MJ
    - Xiang Sha Liu Jun Tang without Ban Xia
    - Liu Jun Zi + Chen Pi, Mu Xiang, Sha Ren

Story for Xiang Sha Yang Wei Tang:
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)!

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11
Q

For the associated Formula of Si Jun Zi Tang, Yi Gong San, what does it do and what are the ingredients?

A

moves Qi
SP Qi def
especially for kids with indigestion and Qi Stagnation

Si Jun Zi Tang + Chen Pi

  • ren shen
  • fu ling
  • bai zhu
  • gan cao
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12
Q

For the associated Formula of Si Jun Zi Tang, Liu Jun Zi Tang, what does it do and what are the ingredients?

A
SP Qi def + damp-phlegm accumulation
stops vomit
loss appetite
nausea 
food distention
stuffy chest 
coughing 

Si Jun Zi + Er Chen Tang (ban xia, ju hong, fu ling, gan cao)

Story:
Overworked ferret from Si Jun Zi (Tonfiy Qi), carries not only his briefcase, but also SIX barf bags for his nausea/vomiting. The city knows overworked city workers are and only offer half a bag for every two people (loss appetite). Ferret cant even eat b/c keeps coughing up white sputum. SP organ contemplates going back into Ferret, but wonders if things will be too squished and tight from “focal distention, and stuffy chest, epigastrium.”

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13
Q

Ingredients for Ren Shen Ge Jie San.

A
Chief: Ge Jie 
Associated: Ren Shen
Fu Ling 
Sang Bai Pi 
Xing Ren 
Assistants: Chuan Bei Mu + 
Zhi Mu (these two are Er Mu San: phlegm-heat, cough, wheeze) 
Envoy: Gan Cao
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14
Q

Applications of Ren Shen Ge Jie San.

A

LU and KI Def: cough, wheeze
phlegm heat accumulation

P: floating and empty
s/s: cough, wheeze, exhale more than inhale
cough w/ yellow sputum or cough w/ bloody pus
heat sensation in chest
swollen body
P: floating and empty

Story: Ferret is blowing up a gecko balloon. Lungs and Kidneys are exhausted and has him coughing, wheezing, SOB. He’s partially filled the balloon with phlegm, some bloody pus has slipped in there as well. The coughing is exhausting and his chest is hot. The body of gecko balloon is swollen.
The pulse of the gecko is floating and empty.

Ferret needs to arrest his cough and wheezing to tie the balloon shut.

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15
Q

What is chief herb of Ren Shen Ge Jie San?

A

Ge Jie: Tonifies Kidneys, restores KI ability to grasp Qi & stop wheezing
- also salty and warming: tonifies Qi dynamic without further warming

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16
Q

What are the treatment principles of Ren Shen Ge Jie San?

A

Tonify Qi
Clear Heat
Transform Phlegm
Stop cough, arrest wheezing

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17
Q

What is pathogenesis of Ren Shen Ge Jie San?

A

chronic cough and wheezing d/t LU and KI def with phlegm-heat accumulation

Manifests as:
SP and LU Qi def
Can't D/D function
Water retained 
Develops heat from stagnation
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18
Q

Bu Fei Tang *

What are ingredients of formula?

A

Think Butt Ferrets… 2 ferrets playing chess on their butts

Chief:
Ren Shen
Huang Qi

Assistant: Shu Di Huang 
Deputy: 
Wu Wei Zi
Zi Wan 
Sang Bai Pi
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19
Q

What are the applications of Bu Fei Tang?

A

LU Qi Def
s/s: SOB, spontaneous sweat, chills/fever, cough, wheezing
T: pale
P: big and empty

Story: 2 old ferrets playing chess with the freezer door open and REN SHEN sticking out and windows open on a hot sunny day. The chess board is black and sticky like Shu Di Huang, the Yellow Qi piece is about to be moved. They are drinking purple tea (wu wei zi tea with zi wan root floating) to help with their KI and stop cough.
The game takes hours because they are constantly coughing and wheezing, and need to catch their breath as they play (SOB). Their spontaneous sweating does not help. One opponent has a coughing fit and all the pieces fly everywhere. Should close freezer and window to stop the fever/chills.

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20
Q

Which are the chief herbs of Bu Fei Tang?

A

Ren Shen
+ Huang Qi
- work together to tonify Qi & Wei Qi

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21
Q

What are treatment principles of Bu Fei Tang?

A

Tonify Qi and stabilize exterior

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22
Q

What is pathogenesis of Bu Fei Tang?

A

LU Qi def

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23
Q

Compare Bu Fei Tang and Yu Ping Feng San.

A

Bu Fei Tang: LU Qi def
- variation of Sheng Mai San
- treats chronic cough d/t LU Qi def
I: Ren Shen, Huang Qi, Shu Di Huang, Wu Wei Zi, Zi Wan, Sang Bai Pi

Yu Ping Feng San: Def Wei Qi (*underlying Qi def)
- Wei Qi def, those susceptible to exterior Wind
I: Huang Qi, Bai Zhu, Fang Feng

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24
Q

Sheng Mai San ***

What are Ingredients?

A

Ren Shen (fire)
Mai Men Dong (metal, LU)
Wu Wei Zi (water, KI) Dr. Turtle

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25
Q

Application of Sheng Mai San?

A

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.

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26
Q

Chief Herb of Sheng Mai San?

A

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

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27
Q

What are the treatment principles of Sheng Mai San?

A

Tonify Qi, generate fluids
Preserves Yin
Stops excess sweating

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28
Q

What is pathogenesis of formula?

A
  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
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29
Q

Modifications of Sheng Mai San for:

  1. palpitations
  2. coronary artery disease
A

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

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30
Q

Modifications of Sheng Mai San for:

  1. palpitations
  2. coronary artery disease
A

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

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31
Q

Yu Ping Feng San ***

Ingredients.

A
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)
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32
Q

What are applications of Yu Ping Feng San?

A
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).

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33
Q

What is the chief herb of Yu Ping Feng San?

A

Huang Qi: firms superficial aspect of LU and SP

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34
Q

What are the treatment principles of Yu Ping Feng San?

A

Augment Qi
Stabilize exterior
stops sweating

35
Q

What is pathogenesis of Yu Ping Feng San?

A

Wei Qi def

or loose intersticial layer from constitutional weakness, susceptible to wind

36
Q

Modifications of Yu Ping Feng San for:

  1. allgergic rhinitis
  2. hypotention
A

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
37
Q

Sheng Yang Yi Wei Tang*

Ingredients.

A
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
38
Q

Applications of Sheng Yang Yi Wei Tang.

A
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
39
Q

Bu Zhong Yi Qi Tang ***

Ingredients of Bu Zhong Yi Qi Tang

A
Huang Qi 
Ren shen
bai zhu
gan cao
dang gui
chen pi 
sheng ma (horses tail looking herb), CARE  
chai hu
40
Q

Chief Herb in Bu Zhong Yi Qi Tang?

A

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

41
Q

Treatment principle of Bu Zhong Yi Qi Tang?

A

Tonify Qi of MJ

Raise sunken Yang Qi

42
Q

Application of Bu Zhong Yi Qi Tang?

A

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).

43
Q

Pathogenesis of Bu Zhong Yi Qi Tang?

A

MJ def

44
Q

Pathogenesis of Fever of Bu Zhong Yi Qi Tang?

A

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

45
Q

Treatment principle for fever of Bu Zhong Yi Qi Tang?

A

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

46
Q

What are contraindications of Bu Zhong Yi Qi Tang?

A

Not to be used for Fever d/t Yin def

47
Q

What are common modifications for Bu Zhong Yi Qi Tang?

A

For prolapse of internal organs

+ chi shi zhi | Stabilize and Bind, sour, astringent, sweet, warming

48
Q

Common associated formulas of Bu Zhong Yi Qi Tang.

A
  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)
49
Q

Comparisons of ingredients, functions and applications of Bu Zhong Yi Qi Tang:

a. Gui Pi Tang (Restore SP Decoct.)
b. Liu Wei Di Huang Wan (6 Ingred. Pill w/ Rehmannia)
c. Xiao Jian Zhong Tang (Minor Cinstruct Middle Decoct)

A

What are ingredients of Si Jun Zi Tang?

50
Q

What are ingredients of Shen Ling Bai Zhu San?

A
ren shen
bai zhu 
fu ling
gan cao
shan yao
lian zi
yi yi ren
jie geng
51
Q

What is Shen Ling Bai Zhu San used for?

A

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
52
Q

What are the applications of Shen Ling Bai Zhu San?

A

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.

53
Q

Chief herbs in Shen Ling Bai Zhu San?

A
Ren Shen
Bai Zhu 
Fu Ling 
Gan Cao 
- the 4 gentlemen
54
Q

Treatment principles of this Shen Ling Bai Zhu San?

A

Tonify Qi,
Strengthen SP
Elim. damps, stops diarrhea

55
Q

Pathogenesis of Shen Ling Bai Zhu San?

A

SP/ST Qi def with damp accumulation

LU QI def = chronic cough w/ profuse sputum

56
Q

What does cultivating Earth to generate Metal mean in Shen Ling Bai Zhu San?

A

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

57
Q

Shen Ling Bai Zhu San contains which other formula?

A

Si Jun Zi Tang - 4 Gentlemen

58
Q

Ingredients of Liu Jun Zi Tang.

A

ren shen
bai zhu
fu ling
can cao

+ chen pi
+

59
Q

Modifications of Shen Ling Bai Zhu San

a. for cough
b. diabetes

A

a. for cough
+ chen pi
+ ban xia
+ xing ren

b. For diabetes mellitus
huang qi
wu wei zi
And ji nei jin

60
Q

Shen Ling Bai Zhu San vs. Si Jun Zi Tang

A
  • 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
61
Q

Shen Ling Bai Zhu vs. Liu Jun Zi Tang

A
  • 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
62
Q

Associated formulas of Shen Ling Bai Zhu San… QI WEI BAI ZHU SAN (7 Ingred. Powder w/ Atractylodes Macrocephala)

A

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)

63
Q

Si Jun Zi Tang is good for treating…

A

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!

64
Q

What are common modifications of Si Jun Zi Tang?

a. indigestion
b. morning sickness
c. edema during pregnancy

A

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)

65
Q

Pathogenesis of Si Jun Zi Tang.

A

SP Qi def … can’t T/T sufficiently … LU/SP Qi def

66
Q

Si Jun Zi Tang + Er Chen Wan (+ ban xia, ju hong) =

A

Liu Jun Zi Tang

67
Q

Er Chen Wan is good for treating …

A

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
68
Q

Liu Jun Zi + Mu Xiang, Sha Ren =

A

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)!

69
Q

Xiang Sha Yang Wei Tang is associated with which Tonifying formula? What are the functions of Xiang Sha Yang Wei Tang?

A

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

70
Q

Xiang Xia Liu Jun Zi minus (-) ban xia =

A

xiang sha yang wei tang

71
Q

What are the ingredients of Si Wu Tang?

A

shu di huang
bai shao
dang gui
chuan xiong

72
Q

Si Wu Tang is used to treat…

A

blood def and blood stasis, regulate menses

73
Q

What are the s/s of Si Wu Tang?

A

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.

74
Q

What is the pathogenesis of Si Wu Tang?

A

LR Blood def and stagnation

75
Q

What is the treatment principle of SI Wu Tang?

A

nourish blood,

regulate LR/menses

76
Q

Chief herb of Si Wu Tang?

A

Shu Di Huang

77
Q

What are the contraindications of Shu Di Huang?

A
  • acute or severe blood loss

- careful with shu di huang with patients that have weak SP

78
Q

What are the key symptoms of Si Wu Tang?

A

lusterless complex and nails, pale tongue, thready pulse

79
Q

What are the modifications of Si Wu Tang for:

a. dysmenorrhea
b. blood def w/ cold from def
c. blood def with heat

A

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

80
Q

Associated formulas of Si Wu Tang? There are at least 10.

A
  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)
81
Q

Dang Gui Bu Xue Tang is used to treat what?

A

def heat from blood def and floating yang Qi

82
Q

What are the ingredients in Dang Gui Bu Xie Tang?

A

Huang Qi
Dang Gui
5:1 ratio

83
Q

The application for Dan Gui Bu Xie Tang?

A

s/s:

84
Q

What is the treatment principle of Dang Bu Xie Tang?

A

helps to tonify qi and generate blood