Tonify the Qi Flashcards

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1
Q

Tonify the qi and strengthens the Spleen

Sx: Pallid complexion, low and soft voice, reduced appetite, loose stools, and weakness in the limbs.

T: pale
P: deficient/frail

A: Si jun zi tang - four gentlemen decoction
B: Liu jun zi tang - six gentlemen decoction
C: Shen ling bai zhu san - ginseng, poria and white atractylodes powder
D: Bu zhong yi qi tang - tonify the middle to augment the qi decoction
E: Yu ping feng san - jade windscreen powder
F: Sheng mai san - generate the pulse powder

A

A: Si jun zi tang - four gentlemen decoction

ren shen - ginseng (tonify qi)
bai zhu - atractylodis (tonify qi)
fu ling - poria (drain damp)
zhi gan cao - prep. licorice (tonify qi)

Classic presentation of spleen qi xu caused by improper eating habits, excessive deliberation and overwork.

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2
Q

Strengthens the spleen, transforms phlegm, stops vomiting. For concurrent deficient spleen qi and phlegm

Sx: loss of appetite, nausea or vomiting, focal distention and a stifling sensation in the chest/epigastrium, and often coughing of copious, thin and white sputum.

A: Si jun zi tang - four gentlemen decoction
B: Liu jun zi tang - six gentlemen decoction
C: Shen ling bai zhu san - ginseng, poria and white atractylodes powder
D: Bu zhong yi qi tang - tonify the middle to augment the qi decoction
E: Yu ping feng san - jade windscreen powder
F: Sheng mai san - generate the pulse powder

A

B: Liu jun zi tang - six gentlemen decoction

Four gentlemen
ren shen - ginseng (tonify qi)
bai zhu - atractylodis (tonify qi)
fu ling - poria (drain damp)
zhi gan cao - prep. licorice (tonify qi)

PLUS er xin tang/two aged decoction
chen pi - tangerine peel (invig. qi)
zhi ban xia - pinellia (transform phlegm)

In addition to tonifying the qi, this focuses on the formula’s action on removing obstruction to the middle burner by phlegm w/ rebellious qi of the stomach and lungs.

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3
Q

Augments the qi, strengthens the spleen, leaches out dampness and stops diarrhea

Sx: loose stools, reduced appetite, weakness of the extremities, weight loss, distention and a stifling sensation in the chest and epigastrium, pallid and wan complexion, possible vomiting.

T: pale with a white coating
P: thin, moderate or deficient pulse

A: Si jun zi tang - four gentlemen decoction
B: Liu jun zi tang - six gentlemen decoction
C: Shen ling bai zhu san - ginseng, poria and white atractylodes powder
D: Bu zhong yi qi tang - tonify the middle to augment the qi decoction
E: Yu ping feng san - jade windscreen powder
F: Sheng mai san - generate the pulse powder

A

C: Shen ling bai zhu san - ginseng, poria and white atractylodes powder

Four gentlemen
ren shen - ginseng (tonify qi)
bai zhu - atractylodis (tonify qi)
fu ling - poria (drain damp)
zhi gan cao - prep. licorice (tonify qi)

PLUS
shan yao - dioscorea (tonify qi)
chao bai bian dou - fry fried lablab semen (clear heat)
lian zi - nelumbinis semen (stabilize and bind)
yi yi ren - coicis semen (drain damp)
sha ren - amomi fructus (aromatic transform damp)
chao jie geng - dry fried platycodi radix (transform phlegm stop cough)

Spleen qi xu leading to internally generated dampness.

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4
Q

Tonifies the middle burner, augments the qi raises the yang, lifts what has sunken

Sx: (1) dizziness, unsteadiness, imparied or unclear vision, deafness, tinnitus, shortness of breath, laconic speech, a weak voice, a shiny pale complexion, reduced intake of food, loose stools
T: pale
P: frail

(2) Qi xu fever, intermittent fever that worsens upon exertion, spontaneous sweating, aversion to cold, a thirst for warm beverages
T: pale and swollen
P: large but forceless

(3) Sinking of the middle burner: hemorrhoids, rectal or uterine prolapse, prolapse of the internal organs, chronic diarrhea or dystentery, irregular uterine bleeding, reduced intake of food, loose stools
T: pale
P: soft

A: Si jun zi tang - four gentlemen decoction
B: Liu jun zi tang - six gentlemen decoction
C: Shen ling bai zhu san - ginseng, poria and white atractylodes powder
D: Bu zhong yi qi tang - tonify the middle to augment the qi decoction
E: Yu ping feng san - jade windscreen powder
F: Sheng mai san - generate the pulse powder

A

D. Bu zhong yi qi tang - tonify the middle to augment the qi decoction

huang qi - astraglaus (tonify qi)
ren shen - ginseng (tonify qi)
bai zhu - atractylodis (tonify qi)
zhi gan cao - prep. licorice (tonify qi)
dang gui - angelica (tonify blood)
chen pi - tangerine peel (invig. qi)
chai hu - bupleurum (c.a.r.e)

This formula is the same as Liu jun zi tang - six gentlemen decoction but minus the fu ling - poria and ban xia - pinellia. Poria is downward draining and we want to lift the qi in this presentation. Chai hu and huang qi provide the lifting action.

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5
Q

Augments the qi, stabilizes the exterior, stops sweating

Sx: aversion to drafts, spontaneous sweating, recurrent colds, a shiny pale complexion
T: pale
P: soft, floating

A: Si jun zi tang - four gentlemen decoction
B: Liu jun zi tang - six gentlemen decoction
C: Shen ling bai zhu san - ginseng, poria and white atractylodes powder
D: Bu zhong yi qi tang - tonify the middle to augment the qi decoction
E: Yu ping feng san - jade windscreen powder
F: Sheng mai san - generate the pulse powder

A

E. Yu ping feng san - jade windscreen powder

huang qi - astragali radix (tonify qi)
bai zhu - atractylodis rhizoma (tonify qi)
fang feng - saposhnikoviae radix (w.a.r.e.)

For defiency of the exterior with weak and unstable wei qi causing the pores to be unable to close. This leaves someone susceptible to exterior invasion

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6
Q

Augments the qi, generates fluid, preserves the yin, stops excessive sweating

Sx: chronic cough with sparse sputum that is difficult to expectorate, shortness of breath, spontaneous sweating, dry mouth and tongue
T: pale-red with dry thin coat
P: deficient, rapid, thin

A: Si jun zi tang - four gentlemen decoction
B: Liu jun zi tang - six gentlemen decoction
C: Shen ling bai zhu san - ginseng, poria and white atractylodes powder
D: Bu zhong yi qi tang - tonify the middle to augment the qi decoction
E: Yu ping feng san - jade windscreen powder
F: Sheng mai san - generate the pulse powder

A

F. Sheng mai san - generate the pulse powder

ren shen - ginseng (tonify qi)
mai men dong - ophiopogonis radix (tonify yin)
wu wei zi - schisandrae fructis (astringant)

Concurrent deficiency of qi and yin, primarily of the lungs.

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