Week 13 - Open Orifices / Extinguish Wind, Stop Tremors

Question 1

What is the marquee substance to open the orifices and revive the spirit?

Answer 1

She Xiang

Question 2

What secondary function makes She Xiang a popular ingredient in Die Da plasters? What is a modern indication for this substance? How should this herb be used?

Answer 2

• Invigorates blood, dissipates clumps, reduces swelling and alleviates pain
• CAD
• administered in pill form

Question 3

Shi Chang Pu’s open the orifices function is secondary to which function? What are some indications of the second function?

Answer 3

Transforms turbid dampness, awakens the SP, promotes movement of Qi

chest/epigastric fullness, abdominal distention, poor appetite, diarrhea, excessive thick saliva

Question 4

What is the marquee substance in Open the Orifices to relieve heat toxin? What is the typical dosage range?

Answer 4

• Niu Huang
• 0.2-0.5g

Question 5

Which function is Niu Huang renowned for?

Answer 5

Clear heat especially in HT

Question 6

Su He Xiang is indicated for _____ Closed Disorders.

Answer 6

Cold

Question 7

Which of the Open Orifices substances has a relatively larger dosage range?

Answer 7

Shi Chang Pu - 3-9g

Question 8

What is the legal status of Niu Huang/Ling Yang Jiao/She Xiang? How does Ling Yang Jiao compare to Xi Jiao?

Answer 8

• These are animal substances that are expensive to obtain
• Ling Yang Jiao drains LV heat
• Xi Jiao cools the blood

Question 9

What type of headaches can Gou Teng treat? How is it prepared? What mechanism does Gou Teng possess to extinguish wind?

Answer 9

• LV yang rising due to heat
• Decoct for less than 20 min
• Drains LV heat causing wind to stir

Question 10

What type of dosing and preparation is required of minerals and shells?

Answer 10

crush and cook ~1 hour before adding other herbs

Question 11

Di Long plays an important role in _______. Identify the mechanisms.

Answer 11

Stroke sequelae - dredges the channels

asthma - clears LU heat

arthritis - clears heat, dredges the channels

Question 12

What precautions should a TCM practitioner exercise when prescribing Quan Xie and Wu Gong? Is it still used presently?

Answer 12

Quan Xie and Wu Gong are toxic and also taste bad. They should only be used for excess patterns. They are still used although Di Long is a safer alternative

Question 13

Ci Ji Li is also known as _______.

List actions and indications

Answer 13

Bai Ji Li

• Calms the Liver and anchors the yang: For headache, vertigo, or dizziness from ascendant LV yang
• Dispels wind-heat and brightens the eyes: For red, swollen, and painful eyes as well as increased tearing
• Dredges the Liver Qi to smooth its flow while dispersing constraint and clumping: For pain and distention in the chest or flank, irregular menstruation, or insufficient lactation, from constrained LV qi
• Dispels wind and stops itching: For any kind of skin lesion w/ significant itching, such as hives; also used for vitiligo, sometimes as a stand-alone herb

Question 14

Bia Jiang Can is often used in ______ conditions. List actions and indications

Answer 14

wind-phlegm

• Extinguishes wind and stops spasms and convulsions: Used for childhood convulsions due to high fever, epilepsy, facial paralysis, and facial tics
• Dispels wind, disperses wind-heat, and stop itching and pain: Used to treat headache, red eyes w/ excessive tearing, toothache, loss of voice, and sore, swollen throat from wind-heat attacking the head
• Transforms phlegm softens what is hard, and dissipates nodules: Used to treat mastitis, scrofula, erysipelas, and parotitis
• Expels wind and stops itching: Used to treat wind trapped in the skin causing eczema and other itchy rashes

Question 15

Latin name for Shè Xiāng 麝香

Answer 15

Moschus

Question 16

Latin name for Sū Hé Xiāng 蘇合香

Answer 16

Styrax

Question 17

Latin name for Shí Chāng Pú 石菖蒲

Answer 17

Acori Tatarinowii Rhizoma

Question 18

Latin name for Niú Huáng 牛黄

Answer 18

Bovis Calculus

Question 19

Latin name for Bīng Piàn 冰片

Answer 19

Borneolum

Question 20

Latin name for Gōu Téng 鉤藤

Answer 20

Uncariae Ramulus cum Uncis

Question 21

Latin name for Líng Yáng Jiăo 羚羊角

Answer 21

Saigae Tataricae Cornu

Question 22

Latin name for Shí Jué Míng 石決明

Answer 22

Haliotidia Concha

Question 23

Latin name for Dì Lóng 地龍

Answer 23

Pheretima

Question 24

Latin name for Quán Xiē 全蠍

Answer 24

Scorpio

Question 25

Latin name for Wú Gōng 蜈蚣

Answer 25

Scolopendra

Question 26

Latin name for Dài Zhĕ Shí 代赭石

Answer 26

Haematitum

Question 27

Latin name for Tiān Má 天麻

Answer 27

Gastrodiae Rhizoma

Question 28

Latin name for Cī Jí Lí 刺蒺藜

Answer 28

Tribuli Fructus

Question 29

Latin name for Bái Jiāng Cán 白殭蠶

Answer 29

Bombyx Batryticatus

Question 30

List actions and indications for She Xiang

Answer 30

Vigorously opens the orifices, revives the spirit, and unblocks closed disorders: For impaired consciousness, unconsciousness, seizures, epilepsy, stroke, fainting, stupor, and tetany Invigorates the blood, dissipates clumps, reduces swelling, and alleviates pain: For toxic sores in the blood level, amenorrhea, angina. May also be used topically or internally to treat traumatic injury such as fractured bones and torn ligaments Hastens delivery and facilitates the downward passage of stillborns: used in cases where the dead fetus or placenta fails to descend.

Question 31

List actions and indications for Su He Xiang

Answer 31

Opens the orifices and penetrates through turbidity to awaken the spirit: For closed disorders, phlegm collapse, epidemic toxic diseases Opens up areas of constraint and clears away filth: For stifling sensations, cold fullness, and chest and abdominal pain, CAD, biliary colic, topically for chilblain

Question 32

List actions and indications for Shi Chang Pu

Answer 32

Opens the orifices, dislodges phlegm, removes filth, and Quiets the spirit: Used to treat phlegm obstructing the sensory orifices leading to delirium, mania, unconsciousness, coma, seizures, and epilepsy. Forgetfulness, dulled senses, dizziness, foggy head Transforms turbid dampness, awakens the Spleen, and promotes movement of Qi: Used to treat chest and epigastric fullness, abdominal distention, poor appetite, diarrhea and excessive thick saliva Promotes blood flow and reduces swelling: Used to treat painful throat, hoarse voice, pain due to trauma, and clogged ears due to pressure changes

Question 33

List actions and indications for Niu Huang

Answer 33

Clears the Heart, opens the orifices, awakens the spirit, and dislodges phlegm: Used to treat mania, delirium, high fever with loss of consciousness, coma, and other conditions in which fire has burned the fluids into phlegm, and lodged in the orifices, disturbing or uprooting the Shen Clears the Liver, relieves toxicity, extinguishes wind, and stops tremors: Used to treat tremors, convulsions, epilepsy, lockjaw, and high fever w/ spasms Drains heat and relieves fire toxicity: Used to treat a variety of severe inflammations and infections, as well as ulcers and boils. May be used along for this purpose.

Question 34

List actions and indications for Bing Pian

Answer 34

Opens the orifices, awakens the spirit, and unblocks closed disorders: Used to restore consciousness after fainting, seizure, stroke or coma Clears heat, drains fire, resolves toxicity, clears the eyes, removes superficial visual obstructions, and stops pain: For eyes, throat and skin, to treat redness, swelling, sores, non-healing skin, decaying flesh, thrush, sore throat, and toothache. Apply topically Clears heat, alleviates pain, dissipates nodules, and alleviates itching: For scabies, herpes, eye itching, styes, neuropathy, and itchy sores. Apply topically

Question 35

List actions and indications for Ling Yang Jiao

Answer 35

Drains Liver heat, calms the Liver, extinguishes wind and controls spasms and convulsions: Used to treat high fever and seizure in children, and chronic or acute convulsions for both children and adults, spasms, tremors and epilepsy when due to firey LV yang generating wind Calms the Liver and anchors the yang: Used to treat dizziness, vertigo, headaches, blurry vision, bad temper, red eyes, ribside burning, insomnia w/ nightmares, and a constant bitter taste in the mouth Clears the Liver and improves the vision: Used to treat swollen painful red eyes, pressure and pain in the eyeball, sensitivity to light and blurry vision due to LV fire Drains heat and relieves fire toxicity: Used to treat high fever, mania, delirium and loss of consciousness Clears damp-heat : Used to treat hot bi syndrome

Question 36

List actions and indications for Shi Jue Ming

Answer 36

Drains Liver fire and anchors and sedates the Liver Yang: Used to treat hypertension, migraines, vertigo, flushing in the face or body, irritability, a bitter taste w/ a dry mouth, and short temper, along w/ other KD and LV yin deficiency symptoms (sore weak lower back, forgetfulness, etc.) Improves vision and causes superficial visual obstructions to recede: Used to clear heat from the LV channel to treat swollen red eyes, photophobia, pterygium, glaucoma, cataract, and blurry vision Recently also used for increased gastric acidity, and, topically, for bleeding due to trauma.

Question 37

Di Long's main action is \_\_\_\_\_\_\_\_ List actions and indications for Di Long

Answer 37

unblocks channels & collaterals Drains heat, settles convulsions, extinguishes wind, and stops spasms: For very high fever leading to seizures and delirium; also used for epilepsy, mania and heat-induced schizophrenia Clears Heat & Calms wheezing: Used to treat wheezing, asthma, and whopping cough Clears heat and unblocks and promotes movement in the channels and collaterals: Used to treat hemiplegia, joint pain and hot painful bi syndrome Clears Heat and promotes urination: Used to treat difficult urination due to heat in the UB and painful urination due to KD stones Also used recently for hypertension associated with ascendant Liver yang patterns.

Question 38

List actions and indications for Quan Xie

Answer 38

Extinguishes wind and stops tremors and convulsions: Used to treat seizures, spasms, facial tics, tetanus, slurred speech, inflexible tongue, opisthotonos, and acute or chronic childhood convulsions Attacks and relieves fire toxin and dissipates nodules: Used topically to treat toxic sores, mastitis, scrofula, and mumps. Use as an ointment w/ sesame oil and beeswax Tracks down wind, Unblocks the collaterals and stops pain: Used to treat frontal and temporal migraines, and sever muscular pain w/ numbness and joint immobility

Question 39

List actions and indications for Wu Gong

Answer 39

Extinguishes wind and stops spasms and convulsions: Used to treat acute or chronic convulsions, spasms, cramps, epilepsy, lockjaw, seizures and opisthotonos Attacks toxin and dissipates nodules: Used to treat sores, carbuncles, neck lumps and poisonous snakebite Unblocks the collaterals and stops pain: Used to treat stubborn headaches such as migraines, trigeminal neuralgia, migratory joint and muscular pain

Question 40

List actions and indications for Dai Zhe Shi

Answer 40

Sedates and anchors the Liver yang, and Clears Liver fire: Used to treat tinnitus, dizziness, vertigo, headache, short temper, pain or pressure around the eyes, hypertension, and palpitations Strongly directs rebellious Qi Downward: Used to treat hiccups, vomiting, belching, and wheezing Cools the blood and stops bleeding: Used to treat epistaxis, hematemesis, cough w/ blood-streaked sputum, and severe uterine bleeding

Question 41

List actions and indications for Tian Ma

Answer 41

Calms the Liver, extinguishes wind, and controls spasms and tremors: Used to treat spasms, tremors, epilepsy, tetany, opisthotonos, childhood convulsions, high fever, tonic-clonic spasms, stroke Extinguishes wind and alleviates pain: Used to treat migraines, headaches and wind-damp bi syndrome w/ joint pain, muscular pain or numbness and other arthritic conditions Disperses painful obstruction:

Question 42

List actions and indications for Bai Jiang Can

Answer 42

Extinguishes wind and stops spasms and convulsions: Used for childhood convulsions due to high fever, epilepsy, facial paralysis, and facial tics Dispels wind, disperses wind-heat, and stop itching and pain: Used to treat headache, red eyes w/ excessive tearing, toothache, loss of voice, and sore, swollen throat from wind-heat attacking the head Transforms phlegm softens what is hard, and dissipates nodules: Used to treat mastitis, scrofula, erysipelas, and parotitis Expels wind and stops itching: Used to treat wind trapped in the skin causing eczema and other itchy rashes

Question 43

Answer 43

Bīng Piàn 冰片 Borneolum Open Orifices

Question 44

Answer 44

Cī Jí Lí 刺蒺藜 Tribuli Fructus Extinguish Wind and Stops Tremors

Question 45

Answer 45

Dài Zhĕ Shí 代赭石 Haematitum Extinguish Wind and Stops Tremors

Question 46

Answer 46

Dì Lóng 地龍 Pheretima Extinguish Wind and Stops Tremors

Question 47

Answer 47

Bái Jiāng Cán 白殭蠶 Bombyx Batryticatus Extinguish Wind and Stops Tremors

Question 48

Answer 48

Líng Yáng Jiăo 羚羊角 Saigae Tataricae Cornu Extinguish Wind and Stops Tremors

Question 49

Answer 49

Niú Huáng 牛黄 Bovis Calculus Open Orifices

Question 50

Answer 50

Quán Xiē 全蠍 Scorpio Extinguish Wind and Stops Tremors

Question 51

Answer 51

Shí Chāng Pú 石菖蒲 Acori Tatarinowii Rhizoma Open Orifices

Question 52

Answer 52

Shí Jué Míng 石決明 Haliotidia Concha Extinguish Wind and Stops Tremors

Question 53

Answer 53

Sū Hé Xiāng 蘇合香 Styrax Open Orifices

Question 54

Answer 54

Tiān Má 天麻 Gastrodiae Rhizoma Extinguish Wind and Stops Tremors

Question 55

Answer 55

Wú Gōng 蜈蚣 Scolopendra Extinguish Wind and Stops Tremors