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Spring 2013 / Herbs 1 > WK5 - Syndromes: S/Sx > Flashcards

WK5 - Syndromes: S/Sx Flashcards

0
Q

With Excess Heat/Fire, at which level (of the four levels) do herbs that Clear Heat and Drain Fire operate?

A

Qi level

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1
Q

What is the nature of fire?

A

it is: Yang, Drying and Moves Upwards

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2
Q

Herbs that Clear Heat and Drain Fire address heat in which of the 6 channels?

A

Yang Ming Channel

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3
Q

We see fever in all three Yang channels. What is the difference between how the fevers present in the three yang channels?

A

Tai Yang = fever & chills
Shao Yang = fever alternating with chills
Yang Ming = fever with NO chills

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4
Q

What are some signs and symptoms of Excess Heat? (10 given in slides)

A

Fever without chills, profuse sweat, dry mouth, thirst, irritability, red eyes, red face, scanty dark urine, constipation or diarrhea with dark stool, aversion to heat.

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5
Q

What tongue do you see with Excess Heat?

A

red body w/ yellow tongue coat

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6
Q

What pulse do you see with Excess Heat?

A

Full pounding rapid pulse. Sometimes called Flooding.

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7
Q

Yang Ming syndrome is sometimes said to have the ‘four bigs’. What is meant by this?

A

Big pulse, big fever, big sweat, big thirst

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8
Q

What common characteristics do herbs that Drain Fire tend to have in common?

A

tend to be Bitter and Cold.

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9
Q

From a biomedical standpoint, what are herbs that Drain Fire said to be?

A

Anit-iinflammatory, Antipyretic (reduce fever), antimicrobial

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10
Q

What are herbs that Clear Heat and Drain Fire?

A

Shi Gao - Gypsum Fibrosum
Zhi Mu - Anemarrhenae Rhizoma
Xi Gua - Citrulli Fructus

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11
Q

What are some particular Sx and Characteristics of Summerheat?

A
  • only happen in late July or August
  • symptoms of heat similar to Qi level (Yang Ming)
  • scant urination (fluids of body being dried up by heat of summer)
  • vexation - agitation, restlessness
  • sweat or no sweat
  • often combines with Dampness
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12
Q

What are some additional symptoms we will see in Summerheat with Damp?

A
  • nausea & vomiting
  • digestive & elimination issues
  • soggy pulse
  • yellow greasy tongue coat
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13
Q

What is the main formula for Yang Ming Channel Heat or Qi level heat and its major Action and Pattern treated?

A

Bai Hu Tang - clears Qi level heat, drains stomach fire, generates fluids, and alleviates thirst.

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14
Q

What is a called the “natural Bai Hu Tang”?

A

Xi Gua - Citrulli Fructus - watermelon

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15
Q

What are the ingredients in Bai Hu Tang?

A
  • Shi Gao
  • Zhi Mu
  • Zhi Gan Cao
  • Geng Mi (non-glutenous rice)
16
Q

In Shao Yin syndromes, Heat is in which of the four levels?

A

Ying or Xue

17
Q

In Bai Hu Tang what is the chief herb and what is its role (function)?

A

Shi Gao - clears heat and drains fire

18
Q

In Bai Hu Tang what is the Deputy and its complimentary function?

A

Zhi Mu - generates fluids and clears heat

19
Q

What are some characteristics of herbs that Clear Heat and Cool the Blood?

A
  • treat heat at the Ying or Xue level
  • treat heat that causes “reckless” movement of blood
  • some also nourish yin and generate fluids to treat vacuity heat drying out fluids
20
Q

What is meant by “reckless” movement of Blood?

A

heat causing “reckless” movement (bleeding) - rashes, nosebleeds, hemoptysis, vomiting blood.

21
Q

Herbs that Clear Heat and Cool the Blood deal with heat in which six channel stage?

A

Shao Yin (HT & KI)

22
Q

What are Sx of Ying Level Heat?

A

Ying level - high fever worse at night, mental restlessness, insomnia, manic speech, coma, beginning of skin rash, red tongue body with peeling yellow coat (or sometimes no coat)

23
Q

What are Sx of Blood Level Heat?

A

Frank bleeding, skin rash, red tongue with prickles

24
Q

What are herbs that Clear Heat and Cool the Blood?

A

Shui Niu Jiao - Bubali Cornu

Sheng Di Huang - Rehmanniae Radix

25
Q

What are some Damp Heat Pattern Signs and Sx?

A

Dysenteric disorders, urinary difficulty or pain (Lin Syndromes, UTI’s), jaundice, and damp heat skin disorders like furuncles (boils) or eczema.

26
Q

What are some common characteristics of herbs that treat Damp Heat?

A
  • Are Bitter and Cold - can injure a weak middle jiao
  • Can be too drying for deficient patients (Yin, Jin Ye, Qi, SP and ST)
  • Considered antimicrobial, antipyretic and anti-inflammatory by biomed
27
Q

What are some herbs that treat Damp Heat?

A

Huang Qin - Scutellariae Radix
Huang Lian - Coptidis Rhizoma
Huang Bai - Phellodendri Cortex

28
Q

What herbs are known as “the three yellows” or the yellow brothers or the three brothers?

A

Huang Qin, Huang Lian and Huang Bai

29
Q

Can the three yellows be used topically?

A

Yes - can be used topically to pull heat from skin (i.e. red and painful eyes and ulcerations of tongue and mouth)

30
Q

What decoction is made from all three yellows? What is its main action and what jiao does each herb address?

A

Huang Lian Jie Du Tang - clears Fire in all three burners:

Huang Lian - MJ and HT
Huang Qin - UJ
Huang Bai- LJ

31
Q

What is Dui Yao?

A
  • Dui Yao is the art and science of combining herbs.
  • Common herb pairings - do not always need to be used together, but due to the efficacy of their pairing, they often are (e.g. Ma Huang & Gui Zhi, or Shi Gao & Zhi Mu).
32
Q

What is Xiao Ke and what is it similar to?

A

Wasting and Thirsting Disorder:

  • 3 more (drink, eat, urinate more) & 1 less (weight loss)
  • 3 Ps: polydipsia (thirst - UJ), polyphasia (super hungry - MJ), and polyuria (frequent urination - LJ)
  • similar to diabetes type 1
33
Q

Which herbs can be used to treat Xiao Ke?

A
  • Zhi Mu generates fluids and clears heat (3rd fxn), which relieves wasting & thirsting
  • Sheng Di Huang nourishes the yin and generates fluids (2nd fxn), which relieves wasting & thirsting disorder
34
Q

What are the signs and symptoms of blazing stomach fire?

A

headache
toothache
swelling gums

35
Q

What are some signs & symptoms of Deficiency Heat?

A

Deficiency Heat is Yin Deficiency with heat signs: night sweats, irritability, afternoon or low-grade fevers, heat in the five centers, bleeding gums, steaming bone disorder, nocturnal emissions, spermatorrhea

36
Q

Which herbs can be used to treat Deficiency Heat (aka Yin Deficiency)?

A
  • Zhi Mu or Huang Bai can be used together with a yin-tonifying formula when there is a lot of Deficiency Heat.
  • Zhi Mu goes to KD and generates fluids. It can be used for Deficiency Heat when combined with herbs that tonify yin.
  • Huang Bai also directs to KD to clear heat. Again you need to use with other herbs that tonify yin.

Spring 2013 / Herbs 1 (49 decks)

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