Wasting & Thirsting (Xiao Ke) Tx & Fx

Question 0

Basic pathology of wasting and thirsting

Answer 0

yin, fluids deficiency, and heat, dryness excess. (the root of the disorder is yin xu; the manifestation of the disorder is heat and dryness)
*other pathologies: KD yin and yang dual vacuity, blood stag, phlegm accum. main sites include LUs, ST, KDs. may involve SP, HT, LV

Question 1

Main symptoms of Wasting and Thirsting

Answer 1

1. severe and incessant thirst (polydipsia)
2. Excessive hunger (polyphagia)
3. Frequent urination and copious turbid urine (polyuria)
4. weight loss and emaciation

(3 Poly’s and the name of the dz)

Question 2

What are the patterns for the “3 traditional subtypes”?

Answer 2

1. Upper Xiao : LU Heat w/ Injury to the fluids
2. Middle Xiao: Profusion of ST Fire
3. Lower Xiao: A. KD Yin Xu B. KD Yin and yang xu

Question 3

Xiao Ke: Upper Xiao- LU Heat w/ injury to fluids

Answer 3

Tx: clear heat, moisten LU, generate fluids, and relieve thirst
Fx: XIAO KE FANG

Question 4

Xiao Ke: Profusion of ST Fire

Answer 4

Tx: clear ST heat, drain fire, nourish yin, and generate fluids
Fx: YU NU JIAN

Question 5

Xiao Ke: Lower Xiao- KD Yin Xu

Answer 5

Tx: Nourish KD yin, moisten dryness
Fx: LIU WEI DI HUANG WAN

Question 6

Xiao Ke: Lower Xiao- KD yin and yang xu

Answer 6

Tx: warm the yang, nourish yin, tonify and secure KD
Fx: SHEN QI WAN (KD Qi pill)

Question 7

Xiao Ke- Blood Stasis

Answer 7

Tx: invigorate blood, dispel stasis, free the channels and network vessels
Fx: JIANG TANG HUO XUE TANG (sugar reducing, blood activating decoction)

Question 8

Xiao Ke- Phlegm Damp

Answer 8

Tx: transform phlgm, regulate qi and strengthen SP
Fx: CANG FU DAO TAN WAN