Tonify Qi, Tonify Blood Flashcards
What are the ingredients in Si Jun Zi Tang?
Chief Herb: ren shen (sweet, bitter, warm)
Deputy: bai zhu (bitter and warm)
Assistant: fu ling (sweet, bland)
Envoy: gan cao (warm, sweet, earthy)
Best way to remember Si Jun Zi Tang?
Shen-Zhu-Ling-Cao
Of the ingredients in Si Jun Zi Tang, what are the categories of each?
Ren Shen (Tonify Qi) Bai Zhu (Tonify Qi) Fu Ling (Drains Damp) Gan Cao (Tonify Qi)
What is the Chief Herb of Si Jun Zi Tang?
Ren Shen (3-9g)
Treatment principle (what does the formula do) for Si Jun Zi Tang formula?
Tonify Qi, Strengthen SP
Pathogenesis (manner of development of a disease) of Si Jun Zi Tang formula?
SP Qi Def
In Si Jun Zi Tang, Ren Shen + Bai Zhu combined have what function?
Strengthen T/T function of SP
In Si Jun Zi Tang, Bai Zhu + Fu Ling combined have what function?
drains damps, water and edema
leaches out the dampness
Why is Si Jun Zi Tang a basic formula for tonifying Qi?
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
Associated Formulas of Si Jun Zi Tang
- 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 - 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) - 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 - 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)!
For the associated Formula of Si Jun Zi Tang, Yi Gong San, what does it do and what are the ingredients?
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
For the associated Formula of Si Jun Zi Tang, Liu Jun Zi Tang, what does it do and what are the ingredients?
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.”
Ingredients for Ren Shen Ge Jie San.
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
Applications of Ren Shen Ge Jie San.
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.
What is chief herb of Ren Shen Ge Jie San?
Ge Jie: Tonifies Kidneys, restores KI ability to grasp Qi & stop wheezing
- also salty and warming: tonifies Qi dynamic without further warming
What are the treatment principles of Ren Shen Ge Jie San?
Tonify Qi
Clear Heat
Transform Phlegm
Stop cough, arrest wheezing
What is pathogenesis of Ren Shen Ge Jie San?
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
Bu Fei Tang *
What are ingredients of formula?
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
What are the applications of Bu Fei Tang?
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.
Which are the chief herbs of Bu Fei Tang?
Ren Shen
+ Huang Qi
- work together to tonify Qi & Wei Qi
What are treatment principles of Bu Fei Tang?
Tonify Qi and stabilize exterior
What is pathogenesis of Bu Fei Tang?
LU Qi def
Compare Bu Fei Tang and Yu Ping Feng San.
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
Sheng Mai San ***
What are Ingredients?
Ren Shen (fire)
Mai Men Dong (metal, LU)
Wu Wei Zi (water, KI) Dr. Turtle
Application of Sheng Mai San?
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.
Chief Herb of Sheng Mai San?
Ren Shen: helps Source Qi, which helps LU Qi,
regulate interstices and pores
generates fluids, calms shen
What are the treatment principles of Sheng Mai San?
Tonify Qi, generate fluids
Preserves Yin
Stops excess sweating
What is pathogenesis of formula?
- Late stage fever consuming Yin and Qi leading to def of both
- 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 - Long Term Cough: LU Qi def leads to dry cough, SOB, spontaneous sweat, dry mouth and tongue, empty pulse
Modifications of Sheng Mai San for:
- palpitations
- coronary artery disease
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
Modifications of Sheng Mai San for:
- palpitations
- coronary artery disease
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
Yu Ping Feng San ***
Ingredients.
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)
What are applications of Yu Ping Feng San?
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).
What is the chief herb of Yu Ping Feng San?
Huang Qi: firms superficial aspect of LU and SP