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889 Cards in this Set

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In the initial stage of Spring Warmth, at which level is the pathogen?
a. Wei
b. Qi
c. Ying
d. Xue
b. Qi
fever with aversion to cold, aversion to wind, spontaneous sweating, stuffy nose, deficient constitution

T: thin white coating
P: floating and moderate
Guizhi Tang
Pinyin:
Heart
Small Intestine
Bladder
Kidney
xin 心
xiao chang 小腸
pang guang 膀胱
shen 腎
Distention of the hypochondrium and distention of the chest, hypochoncriac pain, sighing, hiccups, depression, irritability, nausea, vomiting, diarrhea, epigastric pain, poor appetite, plum pit sensation in the throat, belching, sour regurgitation, abdominal distention, irregular periods, painful periods, distention of the breasts, PMS, Normal,Wiry on left side.
LIVER QI STAGNATION
1. In the acupuncture classics, what physical form was the San Jiao correlated with?
Formlessness
Luo point of LU
LU 7
T or F: Select front mu points to affect disease of the zang.
True
Various kinds of wind diseases that are characterized by involuntary twitching, vertigo, and dizziness unable to stand properly belong to
The Liver
Which Channels Reach the Axilla?
a. Lung divergent, b. Bladder sinew, c. Pericardium primary, d. Great Luo of Spleen, e. Yang Motility Vessel
a., b., c., e.
Normal Pulse
1. Has Spirit (distinct and has force)
2. Has stomach Qi (supple, slightly slippery, uninhibited, not deep)
3. Has Root (can be felt both at the cubit and inch position down to the bone
spirited conversation by healthy people after a satisfying meal.
Progressive unexplained symptoms over weeks to months: e.g. weight loss, recurrent sweats (especially at night), fevers and poor appetite.
Cancer. High priority referral only if rapidly progressive disease, or if the patient is very anxious.
**/*
Hepatitis A - transmission, incubation, symptoms
- fecal, oral, blood
- 15 ~ 50 days
- GI sx, fatigue, dark U, jaundice (ACE)
recovery from childbirth or severe illness; primary therapy during radiation or chemo; to speed up healing after surgery. no obvious signs of dampness. breathlessness, loose stools, spontaneous sweat, aversion to cold, anemia, chronic bronchitis, myasthenia, weak limbs, habitual miscarriage, rectal prolapse

P: surging but soft & deficient when pressed (large forceless empty - da wu li xu)
T: pale with thin white coat
Buzhong Yiqi Tang - Tonify the Center and Augment the Qi Decoction

Dx: Deficiency of the Spleen and Stomach Qi leading to sinking of the Yang (collapse).
Tx: Raises Qi and Yang, Tonifies the Qi of the Middle Burner
18 huangqi
6 renshen
9 baizhu
9 zhigancao
3 danggui
6 chenpi
6 shengma
6 chaihu
What 4 factors are reviewed in tongue diagnosis?
Color
Shape
Coating
Moisture
general exhaustion with profuse sweating
shallow breathing, dry mouth, thirst
weak lungs with chronic cough
shallow breathing or shortness of breath
T: pale red, thin dry coat
P: fine & empty
or empty & rapid
or large w/o root
Sheng Mai San
Ma Huang & Gui Zhi
Mutually reinforce each other's floating and dispelling characteristics.
-Effectively open the pores of the skin, strongly provoke perspiration, resolve the musles, and scatter wind cold of the replete type.
Indications: basic cold damage pattern; chills, fever, body aches, cough, running nose, aversion to cold, floating tight pulse, and absense of sweat.
Normal pulse (Ping mai)
• Felt at moderate level, even & smooth at all 3 positions with moderate force

• Has regular rate (60-90 bpm) and rhythm

• Has 3 characteristics
[Shen/Spirit: has force and can be felt clearly with regular rhythm]
[Wei/Stomach Qi: is harmonious, supple and uninhibited, slight slipperiness]
[Gen/Root: can be felt all the way to bone, harmonious at all 3 levels]
LEFT
1. Cun (distal) = HT - SI
2. Guan (middle) = LV - GB
3. Chi (proximal) = KD Yin - UB

RIGHT
1. Cun (distal) = LU - LI
2. Guan (middle) = SP - ST
3. Chi (proximal) = KD Yang - UB
What might be a side effect of Sini San that should warn your patients of?
phlegm in the stool; stool may come out quickly, with urgency, "slide out"
A patient presents with the following symptoms: fever that is stronger at night, vexation, agitated movement, sometimes delirious speech, dry throat, slight thirst, crimson-red tongue without coat, and a fine, rapid pulse. What is the pattern?
a. Spring warmth at the Qi level
b. Spring Warmth at the Ying level
c. Spring Warmth at the Yanming level with Yin fluid deficiency
d. Spring warmth at the yangming level with deficiency of Qi and fluids
b. Spring Warmth at the Ying level
aversion to wind and cold, fever without sweat; stiff neck, muscle and joint pain; sneezing and clear nasal discharge; frontal headache; diarrhea

T: normal to red color, with thin white coat
P: floating, tight
Gegen Tang
Vomiting blood, epistaxis, painful periods, irregular periods, dark clotted menstrual blood, abdominal pain, abdominal masses, Purple especially on the sides, purplish spots, Wiry.
LIVER BLOOD STAGNATION
2. What are 2 classical functions of the San Jiao?
digestion, water passages
Luo point of LI
LI 6
T or F: Select back shu points when the fu are diseased
True
Various kinds of cold diseases that are characterized by muscle contraction and pulling of tendons belong to
the Kidney.
Which meridian(s) do/does NOT reach the brain directly? a. Bladder primary, b. Governing, c. Yin Motility, d. Yang Motility, e. Liver primary
e. Liver primary channel
Floating Pulse
Fu Mai
“A wooden pole floating on water—when we push it, there is some resistance but upon release it immediately comes back up”
1. Floating (located on the surface)
2. Surplus
3. Insufficient when pressing down
4. Regains strength when released
Meaning: Yang on the surface, exterior factors(Greater Yang) associated with wind invasion, +forceless is a vacuity pattern; +rapid is wind heat; +slow is wind-cold; +relaxed is wind-damp; + choppy is Blood damage; +short is Qi disease; +bowstring is rheumatic condition; +slippery
An unexplained lump: characteristically hard, irregular, fixed and painless
Cancerous lumps.
**/*
Hepatitis B: transmission, incubation, symptoms
- blood, body fluids
- more contagious than HIV
- 50~180 days
- can survive for 1 week by itself
- cold sx with nausea, rash, diarrhea; no jaundice
- fatigue / depression after above sx disappear
severe degree of spleen deficiency and dampness, chronic respiratory problems. "engender metal by banking up on earth."

P: fine or empty and moderate
T: pale, white greasy coat
Shen Ling Baizhu San

Indications
Spleen Qi Deficiency leading to internally-generated Dampness (in patient with a constitutional weakness).

Actions
Tonifies Qi
Tonifies Stomach and Spleen
Transforms Dampness
9 renshen
9 baizhu
9 fuling
6 (chao) gancao
12 shanyao
12 baibiandou
12 yiyiren
12 lianzi
9 sharen
9 jiegeng
The color of the tongue indicates the conditions of what?
Blood
Nutritive QI
Yin organs
depression, anxiety, restlessness, hysteria, obsessive thought patterns, difficulty making decisions, feeling overwhelmed, palpitations, insomnia, dry mouth, dry cough, wheezing

P: feeble
T: little coating
Baihe Dihuang Tang
Gui Zhi & Bai Shao
Bai Shao: Yin
Gui Zhi: Yang
Harmonize yin and yang, qi and blood, ying and wei. Together they drain w/o damaging yin, while they contain yin without retaining evils. Also harmonize the vessels, relieve tension, and stop pain, as well as support ST yin and SP yang, while regulating the SP and ST.
Indications: Deficient type of exterior wind cold syndrome- h/a, fever, aversion to wind w/ sweat, nasal congestion, dry heaves, and floating moderate pulse.
Floating/Superficial (Fu mai)
• Felt only at top level with light palpation, disappears with pressure
• Exterior syndrome
• Deficiency syndrome
[e.g. floating, large & weak pulse + chronic dz + weakened or lacking vitality stage = Yang Qi floating out]
What formula is indicated by a slippery quality in the LU position?
Ling Gui Zhu Gan Tang
A patient presents with the following symptoms: fever that is stronger at night, vexation, agitated movement, sometimes delirious speech, dry throat, slight thirst, crimson-red tongue without coat, and a fine, rapid pulse. What is the best formula?
a. Xin Jia Hual Long Tang
b. Zeng Ye Cheng Qi Tang
c. Qing Ying Tang
d. Dao Qi Cheng Qi Tang
c. Qing Ying Tang
chills, possibly accompanied by fever but without sweat; profuse production of clear, runny or sometimes foamy phlegm by the lungs and/or sinuses; runny eyes; cold feelings in upper back; coughing and/or asthmatic wheezing; gurlging sounds or feeling of stagnation in epigastric region; dry mouth without desire to drink; nausea; stuffy chest; heavy and painful feeling in body, puffy face and extremities; decreased urination

T: floating and tight, OR
floating and weak, OR
floating and rapid
Xiao Qing Long Tang
Dizziness, vertigo, Numbness of limbs, floaters, insomnia, blurred vision, night blindness, scanty menstruation or amenorrhea, dull,listerless, pale complexion, pale lips, muscular weakness, muscle spasms, cramps, withered and brittle nails, Pale body especially on the sides, dry, Choppy or Thready.
LIVER BLOOD DEFICIENCY
3. Name two uses of SJ
treating the ears and constipation
Luo point of ST
ST 40
What are three indications for luo points?
disorders of interior-exterior related channel or zangfu; disorders in regions reached by luo channels; psycho-emotional disorders
Various kinds of respiratory diseases that are characterized by dull congestion of the chest, shortness of breath, and breathing difficulty belong to
the Lung.
Of the Qi Jing Ba Mai, which meridian's illness is chills and fever?
Yang Wei Mai disease
Vacuous (Empty)
(Xu mai)
1. Floating (but not as much as in exterior conditions)
2. Wide (large)
3. Forceless
4. Possibly slow
Meaning: Interior Blood and/or Yin vacuity pattern, summerheat evil. It reflects an advanced case of Yin deficiency with floating Yang and empty heat.
Picture a tired swimmer with a long way to go to reach shore, taking wider and slower strokes.
Unexplained bleeding: either from surface of skin, or emerging from an internal organ such as bowel, bladder or uterus.
Cancerous tissue of (e.g. of breast, skin, lung, mouth, stomach, bowel, bladder or uterus).
**/*
Hepatitis C: transmission, incubation, symptoms
- blood, body fluids
- 20~90 days
- causes 40~60% of chronic LV disease
- GI sx, jaundice (ACE)
- like Hep B, but slower onset
loose stools, pale complexion, weak voice, weak limbs, fatigue, lethargy, chronic gastritis

P: soft & fine, moderate
T: pale
Si Junzi Tang

Dx- SP qi xu due to lifestyle
Actions - tonifies spleen qi w/o over-warming or over-drying
9 renshen
9 fuling
9 baizhu
9 zhigancao
The shape of the tongue indicates what?
State of Blood
Nutritive QI
hot flashes, depression, anxiety, restlessness, hysteria, obsessive thought patterns, difficulty making decisions, feeling overwhelmed, palpitations, insomnia, dry mouth, dry cough, wheezing

P: feeble, possibly rapid
T: little coating
Baihe Zhimu Tang
Gui Zhi & Gan Cao
Combining pungent and sweet flavors produces Yang qi. Gui Zhi is used to enter the Heart and warm and unblock the Heart Yang. It is not used here to release the exterior. Gan Cao controls Gui Zhi to prevent it from inducing sweat and releasing the exterior. Together they warm and unblock the Heart Yang. Gan Cao also tonifies the SP and the Qi to help Gui Zhi build up the Qi.
Sinking/Deep (Chen mai)
• Felt at deep level with deep pressure
• Interior syndrome
[Deep + forceful = interior excess syndrome]
[Deep + weak = interior deficiency syndrome]
What formula is indicated by a slippery quality in the HT position?
Ling Gui Cao Zao Tang
Patient presents with fever, abdominal fullness, constipation, dry mouth, cracked lips, and charred dry tongue coating. What is the pattern?
a. Spring Warmth at the Ying level
b. Spring Warmth with concurrent yangming organ disorder and yin fluid deficiency
c. Spring Warmth yangming organ disorder with concurrent qi and fluid deficiency
d. Spring Warmth with yangming organ disorder with excess small intestine heat
b. Spring Warmth with concurrent yangming organ disorder and yin fluid deficiency
swollen and painful joints, swollen feet (feel hot and worse at night), reduced range of motion in affected joints; absence of sweating; constitutional aversion to cold, frequently suffering from dizziness, lack of energy and possibly nausea

T: white and greasy coating
P: slippery and/or wiry
Guizhi Shaoyao Zhimu Tang
Seasonal Node of the Bladder
Liqiu = beginning of Autumn

Chushu = end of heat
Headache, dizziness, vertigo, red face, red eyes, tinnitus, deafness, dry mouth, dry throat, insomnia, dream-disturbed sleep, palpitations, poor memory, soreness and weakness of the low back and knees, irritability, anger,Red, especially on the sides, wiry, Thready and Rapid.
LIVER YANG RISING
Where is the Lower He-Sea of the SanJiao, and what is it next to?
Lower he/sea of the SJ is UB39 (lateral side of popliteal crease), next to UB40
Luo point of SP
SP 4
Give a treatment strategy & point prescription for hiccup due to food retention
regulate stomach & soothe diaphragm:
CV12, PC6, ST36, BL17, CV14, Lineiting
Various kinds of damp diseases that are characterized by swelling and fullness belong to
the Spleen.
Which meridians enter or pass by the ears? a. one branch of LI long luo-connecting channel, b. SI primary, c. SI sinew, d. SJ primary, e. GB primary
a, b, c, d, e (all)
Drumskin
(Leather)
(Ge Mai)
1.floating
2. Wide
3. Tense or hard
4. Empty
Meaning: severe hemorrhage, loss of fluids, large or wide means excess yin-fluid or qi
deficiency. It can also indicate vacuity cold. If it is also rapid it can mean forthcoming
hemorrhage. In females miscarriage, flooding;
in males it can mean essence deficiency.
Picture someone playing a flat drum that only makes a dull "thud"
Severe progressive anaemia recurrent progressive infections or bruising, purpura and bleeding
Secondary cancer and cancer of blood cells - lymphoma and leukaemia
***/**
Hepatitis D: transmission, relationship to other hep?
- drug use, hemophilia
- only in presence of Hep B
- if also Hep B, may lead to acute LV failure
SP yang xu signs, GI cold, chronic colitis or gastritis, nausea, no thirst, poor appetite, diarrhea & nose bleeding, stomach prolapse, fullness of abdomen or epigastrium

P: weak-slow-deep (ruo chi chen)
T: moist-white coat, pale tongue
Lizhong Wan

Dx - middle burner yang deficiency

Actions - tonify spleen & stomach, warm middle burner
9 renshen
9 ganjiang
9 baizhu
9 gancao
Coating indicates what?
State of Yang organs
cramping, numbness, and/or pain esp. in lower abdomen

P: possible wiry/rapid but never forceful and full
T: white coating
Shaoyao Gancao Tang
Fang Feng & Jing Jie
It disperses internal and external wind.
It does not cause excess drying.
mild dispersing affect (unlike ma huang)
Indications: external wind-damp, internal wind- rashes, headache, eczema
both work with liver-
fang feng- sweet flavor may help with nourishing not to overdry.
Slow (Chi mai)
• < 4 beats/breath (<60 bpm)
• Cold syndrome
[Slow + forceful = excess cold syndrome]
[Slow + weak = deficiency cold syndrome (Yang deficiency)]
What is xiebai used for?
to open up the bottlenecks in the body
What formula is indicated by a wiry pulse felt continuously through at least two pulse positions?
Xiao Chaihu Tang
Patient presents with fever, abdominal fullness, constipation, dry mouth, cracked lips, and charred dry tongue coating. What is the best formula?
a. Dao Chi Cheng Qi Tang
b. Xin Jia Huang Long Tang
c. Zeng Ye Tang
d. Zeng Ye Cheng Qi Tang
d. Zeng Ye Cheng Qi Tang
general physical and mental exhaustion; occasional pain in stomach or abdomen, pain responds positively to pressure/heat; when palpated, abdominal wall feels thin and weak, muscles at the abdominal surface feel tight, intestinal movement may be visually observable on abdominal surface

T: pale, with white coating
P: fine and wiry, moderate
Xiao Jianzhong Tang
Seasonal Node of the Kidney
Bailu = white dew

Qiufen = autumn equinox
High fever, convulsions, neck rigidity, upward starring of the eyes, tremors, opisthotonos, lock jaw, coma in severe cases, Deep-Red, Stiff, thick yellow coating, Wiry, Rapid, Full.
LIVER WIND DUE TO EXTREME HEAT
What is an essential point of the Sanjiao Divergent channel?
Bai Hui Du 20
Luo point of HT
HT 5
Give a treatment strategy & point prescription for hiccup due to counterflow qi and liver upset
Soothe liver and descend counterflow: CV12, PC6, ST36, BL17, CV17, LR3
Various kinds of hot diseases thata re characterized by unclear awareness and tics belong to
fire.
UB40 is Ruler of?
The Back
Scallion Stalk
(Hollow)
(Kou Mai
1. Floating
2. Wide or large
3. Light pressure it becomes irregular
4. Heavy pressure is disappears.
Meaning: Qi and Blood deficiency, severe
Kidney Qi deficiency, Deficiency of original Qi. +slow is Qi and Yang deficiency; +rapid is
severe blood deficiency with Empty Heat; +floating is Deficient Original Qi with floating yang or with Yin Fire.
Picture touching an onion stalk and how it so easily caves in to your touch.
Multiple enlarged lymph nodes (greater than 1 centimetre in diameter) but painless, with no other obvious cause (e.g. known glandular fever infection).
Generalized infectious disease such as glandular fever or HIV/AIDS, disseminated cancer- leukaemia and lymphoma.
**/*
Hepatitis E: transmission, incubation, symptoms?
- fecal, oral, blood
- 15~60 days
- rare
- may have jaundice (ACE)
spleen yang xu with pulsations above umbilicus
Lizhong Wan minus baizhu, plus guizhi
Moisture indicates what?
State of body fluids
general signs of liver & kidney yin deficiency (dry parched mouth & throat, dizziness, blurred vision, insomnia, vivid dreaming, hot flashes, soreness/weakness of knees/lower back, atrophy of lower extremities, vaginal dryness, thinning of vaginal tissues, inability to orgasm, premature greying, loss of libido, spermatorrhea

T: red, little/no coat
P: fine and weak
Er Zhi Wan
Sheng Jiang & Ban Xia
One downbears, while the other drains. One dries; the other warms. When these two medicinals are combined together, they transform phlegm and downbear counterflow, harmonize ST and stop vomiting,
Sheng Jiang can control Ban Xia's toxicity and side effects (Xiang Wei and Xiang Sha relationship)
Sheng Jiang- P/slightly warm- LU, SP, ST
Ban Xia- P/W- LU, SP, ST
Indications: damp-phlegm/ cold in middle jiao
Rapid (Shu mai)
• > 5 beats/breath (>90 bpm)
• Heat syndrome
[Rapid + forceful = excess heat syndrome ]
[Rapid + weak = deficiency heat syndrome (Yin deficiency)]
What formula is indicated by a slippery position in the special (Dr. Tian & Dr. Shen systems) GB position?
Sini San
Which herbs in Qing Ying Tang guide the pathogenic heat out from the Ying level?
a. Xi Jiao, Sheng Di Huang
b. Xuan Shen, Zhu Ye Xin
c. Mai Men Dong, Dan Shen, Huang Lian
d. Jin Yin Hua, Lian Qiao
e. A and B
f. C and D
f. C and D
advanced symptoms include palpitations, restlessness due to deficiency, vivid dreaming, poor appetite, pale face; or soreness and weakness in extremities, heat sensation in hands/feet, general heat sensation or low grade fever upon exertion, dry mouth and throat; or night sweats, spermatorrhea, chronic nose bleeding

T: pale with white coating
P: fine and wiry, moderate
Xiao Jianzhong Tang
Stellar Constellation of the Heart
Jing = the well, place of unity and peace, community, spiritual path (Gemini)
Gui = graveyard of the souls, crossing over to non-material, entering the beginning of darkness/death (Cancer)
Irritability, anger, tinnitus, deafness, temporal headache, dizziness, red face, red, swollen and painful eyes, burning pain in the costal and hypochondriac regions, thirst, bitter taste, dream-disturbed sleep, constipation, dark-yellow urine, epistaxis, hematemesis, hemoptysis, dry mouth, Red especially on the sides, yellow dry coating, Full, wiry, rapid.
LIVER FIRE
6. What are the Front Mu points for the San Jiao –together and separately?
SJ mu: Ren 5
Upper jiao: Ren 17
Middle jiao: Ren 12
Lower jiao: Ren 7
Luo point of SI
SI 7
Give a treatment strategy & point prescription for hiccup due to cold in the stomach.
Warm stomach and descend counterflow qi: CV12, PC6, ST36, BL17, CV13
Various kinds of pain with itch, sores, and carbuncles belong to
the Heart.
Which meridians distribute to the eye area? a. ST divergent, b. HT Luo, c. SI primary, d. Ren Mai, e. Yang Motility & Yin Motility
a, b, c, d, e (all)
Scattered
(San Mai)
1. Floating
2. Wide or large, vague edges
3. Light pressure it becomes irregular
4. Heavy pressure is disappears.
Meaning: Qi and Blood deficiency, severe
Kidney Qi deficiency, Deficiency of original Qi. +slow is Qi and Yang deficiency; +rapid is
severe blood deficiency with Empty Heat; +floating is Deficient Original Qi with floating yang or with Yin Fire.
Picture touching a dead non-stinging jelly fish beginning to fragment, floating on the top of the ocean.
A single markedly enlarged lymph node (greater than 2 cm in diameter) with no other obvious cause.
Cancerous infiltration can lead to a firm grossly enlarged lymph node which may be painless _ Lymphoma.

**/*
HIV
- blood, body fluids
- 2~15 years
- initial onset : low fever, fatigue, lymph nodules
- #1 cause of death : pneumonia
spleen yang xu with abdominal pain

P: weak & slow or sunken & forceless
T: pale, white moist coat
Lizhong Wan, increase renshen
What color tongue is considered normal?
Pale red
distention, fullness or pain in abdomen/epigastrium, poor appetite, sticky & bland taste in the mouth, little/no thirst, belching of sour liquids, nausea or vomit, loose stools, heavy extremities, inflexible/painful joints, general fatigue with frequent desire to nap

T: thick white sticky coating
P: moderate
Pingwei San
Sheng Jiang & Da Zao
When combined together, they move the wei qi, nourish the nutritive qi, and harmonize the nutritive and wei qi. Also fortify SP and harmonize middle burner.
Swift (Ji mai)*
• > 7-8 beats/breath (>140-180 bpm)
• Extreme heat and Yin exhaustion, approaching Qi collapse
What formula should you think of if you see prickly dots all over the tongue?
Wumei Wan
Patient presents with fever, abdominal fullness, constipation, dry mouth and throat, lassitude of the spirit, fatigue, shortness of breath, yellow or charred-black tongue coating, and sunken weak or rough pulse. What is the pattern?
a. Spring Warmth with concurrent yangming organ disorder and yin fluid deficiency
b. Spring Warmth at the Ying level
c. Spring Warmth with concurrent yangming organ disorder and deficiency of Qi and yin fluids
d. Spring Warmth with yangming organ disorder with excess SI heat
c. Spring Warmth with concurrent yangming organ disorder and deficiency of Qi and yin fluids
evidence of phlegm in upper burner (chest/stomach), causing gurgling in stomach, distention in stomach area; cough; dizziness and blurred vision, particularly in the morning and after standing up too fast; dry mouth but aversion to drinking large amounts of liquids; palpitations; flushing up; general tiredness and sluggish feeling

T: scalloped and moist, or greasy white coating
P: soft and slippery, esp LU position on right hand
Fuling Guizhi Baizhu Gancao Tang
(Ling Gui Zhu Gan Tang)
Stellar Constellations of the Small Intestine
Liu = head and beek of phoenix (Cancer)
Xing = throat of phoenix (Leo)
Zhang = attachment of wings and spreading of phoenix wings (Leo)
Fever, scanty dark urine, fullness, distention and pain of the chest and hypochondrium, jaundice, bitter taste, nausea, vomiting, loss of appetite, abdominal distention, vaginal discharge, red painful swelling of the scrotum, vaginal itching, Red body, sticky yellow coating, Slippery, Wiry, Rapid.
LIVER-GALLBLADDER DAMP HEAT
Which are the two most used distal SanJiao points for the ear?
SJ 3 & 5
Luo point of UB
UB 58
Give a treatment strategy & point prescription for vomiting due to retention of food in the stomach.
Promote digestion, remove stagnant food: CV12, ST36, PC6, SP4, CV10, CV21
Various kinds of upstream diseases that are charcterized by constipation and suppression of urination, incontinence of urination and bowel movements, belong to
the lower region.
Qi Jing Ba Mai:
Which is spinal spasm and syncope?
Du Mai disease
Soggy
(Weak-Floating)
(Ru Mai)
“Like a silk thread floating on water”
1. Floating
2. Fine
3. Forceless
4. Felt only with slight pressure
Meaning: Chronic Qi deficiency with dampness. Common with chronic conditions with Dampness such as post-viral conditions. It also indicates
Stomach Qi deficiency. Commonly felt with
digestive disorders, chronic fatigue syndrome, asthma, nocturnal emissions and diarrhea.
a silk thread upon the water
Painless abdominal swelling due to fluid accumulation.
Initially may be painless indicating colon, stomach and ovarian cancer. Other causes chronic congestive cardiac failure, liver failure and kidney disease.

*
Sterilization
Kills all micro-organisms (needles)
hypertension, dizziness, stroke, headache, tic, tinnitus, aphasia, blurred vision, epilepsy, restless sleep, sensation o heat in the head, tics, spasms of the limbs

T: red, possible yellow coat
P: wiry, possibly rapid
Tianma Gouteng Yin

Dx: Liver Yang Rising w. Wind
Tx: Calm liver and extinguish wind, clear heat and move blood, calm shen
9 tianma
12 gouteng
18 shijueming
12 chuan niuxi
9 yimucao
9 sangjisheng
9 duzhong
9 huanglian
9 zhizi
9 yejiaoteng
9 fushen
What are the pathological colors
Pale
Red
Deep-red
Purple
Blue
obvious phlegm signs - productive cough, stuffy feeling in chest & diaphragm region, nausea & vomiting, heavy extremities, dizziness, palpitations, obesity

T: white and moist coat
P: slippery
Er Chen Tang
Qiang Huo & Du Huo
One treats the lower part of the body while the other treats the upper part. When combined, they dispel wind, cold, and dampness and treat bi over the whole body.
Indications: used to treat wind-cold-damp invasion causing HA and body ache; also used for Bi sydrome
Qiang Huo: very pungent- Taiyang layer
Both go to BL, LR, KD
Excess/Forceful/Strong (Shi mai)
• Felt strong and forceful at all 3 levels
• Excess syndrome
[Any kind of excess - e.g excess cold or heat or phlegm, food stagnation, Qi & blood stagnation, excessive Xie Qi and strong Zheng qi]
What is a modification you can make to Wen Pi Tang to address extreme dry hard stool/constipation to the point that there is a little blood during a bowel movement?
Change ganjiang to paojiang to help astringe bleeding
Patient presents with fever, abdominal fullness, constipation, dry mouth and throat, lassitude of the spirit, fatigue, shortness of breath, yellow or charred-black tongue coating, and sunken weak or rough pulse. What is the proper formula?
a. Xin Jia Huang Long Tang
b. Zeng Ye Cheng Qi Tang
c. Qing Ying Tang
d. Dao Chi Cheng Qi Tang
a. Xin Jia Huang Long Tang
evidence of phlegm in upper burner (chest), causing palpitations and anxiety, flushing up; gurgling in stomach, distention in stomach area; cough; dizziness & blurred vision, esp in a.m./after standing up fast; dry mouth but aversion to drinking large amounts of liquids; gen. tiredness & sluggish feeling
T: scalloped and moist
P: soft & slippery, esp in HT position on left hand
Fuling Guizhi Gancao Dazao Tang
Stellar Constellations of the Bladder
Yi = tail feathers of Phoenix (Leo) angelic, person with wings

Zhen = Virgo. Axis of charriot. (spine/BL channel)
Fullness and distention of the hypogastrium, pain that refers to the scrotum and testis, and is alleviated by warmth, dysmenorrhea, infertility,Pale, wet, white coating, Wiry, deep, slow.
LIVER CHANNEL COLD STAGNATION
Why would Deadman’s text make the claim that SJ 5 Wai Guan is its most used point?
SJ5 is the confluent point of the Yang Linking channel. It moves energy in the Shaoyang channels, balances energy between yin and yang zones
Luo point of KI
KI 4
Give a treatment strategy & point prescription for vomiting due to attack on the stomach by liver.
Disperse stagnant liver qi, regulate stomach: CV12, ST36, PC6, SP4, GB34, LR3
Various kinds of paralysis, asthma, and vomiting belong to
the upper region.
Which of the following meridians DON'T directly connect to the genitals? a. ST sinew, b. SP sinew, c. ST primary, d. LR and GB primary, e. SI sinew
c. Stomach primary channel; e. Small Intestine sinew channel
Surging
(Hong Mai)
“Like a wave or rive overflowing its banks”
1. Floating
2. Wide
3. Forceful, comes on strong
4. Peters out
5. Slippery
Meaning: With strength it indicates Full-heat affecting Liver, Heart, Lungs or Stomach and may also be rapid. Without strength it indicates Yin deficiency, empty heat. Indicates Heat or emotional conditions in relation to particular locations such as heart, liver, lungs.
A large wave crashing on the shore and slowing receding.
Disinfection
Kills micro-organisms living on non-living objects (counter surface, equipment, etc)
mumps, swollen head epidemic

P: forceful & rapid
T: red & dry, yellow coat
Puji Xiaodu Yin

dx- Acute, massive febrile disorder of the head (Da Tou Wen) due to a seasonal epidemic toxin associated with Wind-Heat and Damp-Phlegm.

Clears Heat and relieves toxicity
Eliminates Fire
Releases Wind-Heat from the Exterior
15 huanglian
15 huangbai
6 chenpi
6 chaihu
6 xuanshen
6 jiegeng
6 gancao
3 banlangen
3 mabo
3 bohe
3 niubangzi
3 lianqiao
1.5 jiangcan
1.5 shengma
Pale tongue indicates?
DEFICIENCY
of Yang & Blood
stuffy feeling in chest, pain in chest (if severe, may radiate to back), asthmatic breathing, coughing with expectoration of phlegm, shortness of breath, discomfort when lying down, typically obese

T: white, greasy coating
P: sunken & wiry or tight
Gualou Xiebai Banxia Tang
Ju Hua & Gou Qi Zi
Together nourish LR blood and tx KD and LR xu with blurry and dry eyes.
Slippery/Rolling (Hua mai)
• Felt smooth & flowing
("pearls rolling on a plate")
• Phlegm damp retention
• Food stagnation
• Excess heat
• Pregnancy (90% typical)
[50% typical: R > L = girl baby, L > R = boy baby]
Hesitant/Choppy/Rough (Se mai)
• Felt rough, uneven, unsmooth
("bread knife edge")
• Excess or deficiency syndrome

1. Hesitant + forceful = excess syndrome
[○ Qi or blood stagnation]
[○ Food stagnation]
[○ Phlegm retention]
2. Hesitant + weak = deficiency syndrome
[○ Essence impairment]
[○ Blood deficiency ]
Why is there dryness in Wen Pi Tang pattern?
Not enough fire to steam water into moisture.
Patient presents with fever, constipation, dribbling of urine with inhibited flow and urethral pain, red urine, sometimes vexation and thirst. What is the pattern?
a. Spring Warmth with concurrent yangming organ disorder and yin fluid deficiency
b. Spring Warmth at the Ying level
c. Spring Warmth with concurrent yangming organ disorder and deficiency of Qi and yin fluids
d. Spring Warmth with yangming organ disorder with excess SI heat
d. Spring Warmth with yangming organ disorder with excess SI heat
neurasthenia and other form of neurosis; heart disease, heart failure, cardiac infarction, palpitations, auricular fibrillations, hypertension/hypotension; stomach ache, ulcer, neurogenic vomiting, morning sickness, gastrointestinal neurosis, food allergy, diarrhea, constipation, chronic bronchitis, asthma, emphysema, dizziness, vertigo, halo vision, dry mouth syndrome

T: scalloped & moist
P: soft & slippery, esp in HT position on left hand
Fuling Guizhi Gancao Dazao Tang
Stellar Constellations of the Kidney
Jiao = a horned animal/bird (owl?).
(Virgo)
Kang = a man standing firm - zhi. (Libra)
Irritability, abdominal distention and pain, alternating constipation and diarrhea, loose stools, dry and bitty stools, flatulence, fatigue, Red on the sides or Pale, Weak on the right and Wiry on the left.
LIVER INVADING SPLEEN
What are the fire and water points on the SJ channel?
Water: SJ2
Fire: SJ6
Luo point of PC
PC 6
Various kinds of lockjaw, chills, clenching of teeth and loss of normal spirits, belong to
fire.
Face and Mouth Four Ruler point is?
LI4
Sunken (Deep)
(Chen Mai)
“A stone in water”
Deep, sunken
Fine
Forceless
Meaning: 1. Yang qi is insufficient to rise 2. Yang Qi is blocked, can’t rise up. Interior condition, could be cold, heat, food retention, stagnant Qi, Blood, water accumulation depending on the other pulses. Deep and bowstring is massive pain
One should differentiate between Deep-Full and Deep-Weak
a stone sunk to the bottom of a lake
Fainting
- lie down
- elevate feet
- needle Du 26, ST 36, PC 6
strep, staph or other acute bacterial infection. fever, irritability, dark/scanty urine, heat rash, hacking cough, constipation

P: full and rapid
T: red, dry yellowish coat
Liang Ge San

dx-Accumulated Heat in the Three Burners.

Actions - clear heat and resolve toxicity in all three burners, disinhibit bowel & urination
6 dahuang
6 mangxiao
6 gancao
3 huangqin
3 zhizi
12 lianqiao
3 bohe
Tongue is Pale, wet & swollen...what does this indicate?
Deficiency of Yang
cough with dull pain or heavy feeling in chest, expectoration of green or yellow mucus, dry mouth & throat but no desire to drink, sensation of fullness and restlessness, poss low grade fever, asthmatic breathing with inability to lay down

T: red with yellow, greasy coat
P: slippery, poss rapid
Weijing Tang
Which herb treats joint pain in the upper part of the body caused by wind-cold dampness?
a. qiang huo
b. fang feng
c. xi xin
d. ge gen
a. qiang huo (notopterygium)
Flooding/Tidal (Hong mai)
• Felt broad, large & forceful that comes on powerfully & fades away quickly
("roaring waves")
• Excess heat
[Tidal pulse (Big 4) = Yangming channel syndrome (aka Qi Fen syndrome)]
[Flooding pulse + chronic dz + weak constitution = critical condition]
What is a salty herb you can use for chest bind?
Muli
Patient presents with fever, constipation, dribbling of urine with inhibited flow and urethral pain, red urine, sometimes vexation and thirst. What is the proper formula?
a. Xin Jia Huang Long Tang
b. Zeng Ye Cheng Qi Tang
c. Qing Ying Tang
d. Dao Chi Cheng Qi Tang
d. Dao Chi Cheng Qi Tang
chronic bronchitis, asthma, emphysema, heart disease, heart failure, cardiac infarction, palpitations, auricular fibrillation, hyper/hypotension, stomach ache, ulcer, neurogenic vomiting, ulcer, food allergy, diarrhea, constipation, dizziness, vertigo, halo vision, chronic urinary disorder, eye diseases, leukorrhea, dry mouth syndrome

T: scalloped & moist
P: soft & slippery, esp LU position on right hand
Fuling Guizhi Baizhu Gancao Tang
(Ling Gui Zhu Gan Tang)
Hour of Heart
Rizhong = 11-1pm. day center
Breathlessness, asthma, fullness and stuffiness of the chest and hypochondrium, burning pain in the costal and hypochondriac regions, cough, yellow or blood tinged sputum-hemoptysis, headache, dizziness, red face, thirst, bitter taste, scanty dark urine, constipation, anger,red, especially on the sides, swollen in the front part, yellow coating, Wiry and Slippery.
LIVER FIRE INSULTING THE LUNGS
10. Name two symptoms that SJ 6 Zhigou treats very effectively:
Constipation (along with other lower jiao problems)
Rib pain (heart)
Luo point of SJ
SJ 5
Various kinds of spastic symptoms with stiffness of the neck belong to
dampness.
Which of the following connect to the Heart? a. ST divergent, b. SP primary c. KI primary, d. Divergent channel of GB, ST, and UB; e. A branch of GV
a, b, c, d, e (all)
Hidden
(Firm, Prison)
(Fu Mai)
Very deep, deeper than a deep pulse
This pulse can only be felt with strong pressure at a very deep level, close to the bone.
Meaning: Similar to the Deep pulse but more extreme. If it is Hidden and full it indicates blockage. Hidden and empty it indicates Yang deficiency.
A stone sunk into a deeper lake
Hematoma
- vein : apply pressure for 30~60 seconds
- artery : apply pressure for at least 5 minutes
excess heat in all three burners. septicemia, eye infection, toxic carbuncles.
P: forceful and rapid
T: greasy yellow coat
Huanglian Jiedu Tang

Indications
Severe obstruction of the Three Burners by Heat toxin which pervades both the Interior and Exterior.

Actions
Clears Heat and relieves toxicity
Drains Fire from the Triple Burner
9 huanglian
6 huangqin
6 huanbai
6 zhizi
Tongue is very pale to slightly orange. What does this indicate?
Deficiency of Liver-Blood
cough with thick, colorful phlegm, coughing of bloody sputum, dry mouth, restlessness, dizziness, tinnitus, easily angered

T: red
P: slippery, poss rapid
Dai Ge San
Which herb expels wind, alleviates, pain, and relieves yangming headache?
a. bai zhi
b. qiang huo
c. chai hu
d. cang zhu
a. bai zhi (angelica dahurica)
Appendix: Big/Large (Da mai)*
• Broad & large but NOT forceful like roaring waves
• Excess or deficiency syndrome
[Large + forceful = excess syndrome]
[Large + weak = deficiency syndrome]
What do you know about a pattern by the presence of tianhuafen in the formula?
Thirst
Patient presents with a high fever, agitation or clouding with mania and delirious raving, dark purple-black rashes, vomiting of blood or nose bleeding, blood in the stools, and dark crimson tongue. What is the pattern?
a. Spring Warmth with concurrent yangming organ disorder and yin fluid deficiency
b. Spring Warmth with intense heat stirring blood
c. Spring Warmth with concurrent yangming organ disorder and deficiency of Qi and yin fluids
d. Spring Warmth with yangming organ disorder with excess SI heat
b. Spring Warmth with intense heat stirring blood
gastric & duodenal ulcers, chronic gastritis, prolapse of stomach, gastrointestinal neurosis, hyper/hypohydrochloria, chronic colitis, colon cancer, hemorrhoids, chronic hepatitis, neurasthenia, spermatorrhea, impotence, general debility after recovery from long disease, slow healing wounds, bedsores, dysmenorrhea, diabetes, low blood pressure, anemia, nephrosclerosis, hyperplasia of prostate, nocturia, floating kidney, inflammation of eyelid, valvular heart disease, flaccidity of lower limbs, pediatric diseases

T: pale with white coating
P: fine & wiry, moderate
Xiao Jianzhong Tang
Hour of Small Intestine
Ridie = 1-3pm. Sun's decline
Poor appetite, emaciation, abdominal distention after eating, fatigue, lassitude, sallow complexion, weakness of the limbs, loose stools, nausia, stuffiness of the chest and epigastrium and feelings of heaviness, Pale or normal colored, swollen sides with transverse cracks, Weak, Soft, Thready.
SPLEEN QI DEFICIENCY
What is the best position to locate LR 8?
with the knee bent
Luo point of GB
GB 37
Various kinds of upstream heat that hits the upper region belongs to
fire.
What is the disease of the Dai Mai?
abdominal fullness, a sensation at the waist as though sitting (soaking) in water
Weak
(Ruo Mai)
This is a distinct pulse from other ‘weak’ pulses.
Deep
Soft
Forceless
Meaning: Common in chronic conditions, more than an empty pulse. It may indicate Blood or original Qi deficiency. Weak at the superficial level can mean Yang deficiency due to overwork, lack of sleep, deep at the deep level indicates Yin deficiency. Symptoms cab be digestive disorders, menstrual disorders, profuse sweating, nocturnal emissions, hemorrhages
a lifeless soft-bodied cadaver resting at the bottom of the lake
Electro-acupuncture
- not for pts with pacemakers
- don't cross HT or spine
- don't use silver needles (chemical reaction)
hot diarrhea, general heat sensation in the body, asthmatic breathing with sweating, sinus infection, acute enteritis, burning sensation in anus, fever, thirst

P: rapid
T: reddish tip & sides, yellow coating
Gegen Qin Lian Tang

dx- Heat in LI with unresolved surface syndrome

actions - clear heat from Stomach & Intestine, Release Exterior
24 gegen
9 huangqin
6 huanglian
6 zhigancao
Tongue is RED. What does this indicate?
Heat
coughing with asthmatic breathing

T: whitish coating
P: slippery
Sanzi Yangqin Tang
ma huang would be the chief herb in treating which of the following?
a. exterior syndrome caused by wind-heat
b. exterior syndrome caused by wind-cold
c. exterior excess syndrome caused by wind-cold
d. exterior deficiency syndrome caused by wind-cold
c. excess exterior caused by wind-cold
Thin/Thready (Xi mai)
• Felt like fine thread, but distinct & clear
• Deficiency syndrome (Qi & blood deficiency, Yin deficiency)
• Damp syndrome
What formula may be associated with popping joints after getting a cold?
Chaihu Guizhi Tang - these people are more woody, therefore more tense muscles. When tendons/muscles relax, joints may start to pop.
Patient presents with a high fever, agitation or clouding with mania and delirious raving, dark purple-black rashes, vomiting of blood or nose bleeding, blood in the stools, and dark crimson tongue. What is the proper formula?
a. Tao Ren Cheng Qi Tang
b. Ling Jiao Guo Teng Tang
c. Xi Jiao Di Huang Tang
d. Huang Lian E Jiao Tang
c. Xi Jiao Di Huang Tang
rheumatic or rheumatoid arthritis, periarthritis of shoulder, thrombosis of deep vein causing swelling in lower extremitites; sciatica; erythema nodosum; connective tissue disorders

T: white & greasy coating
P: slippery and/or wiry
Guizhi Shaoyao Zhimu Tang
Hour of Bladder
Ribu = 3-5pm. light of day is clear and crisp.
Poor appetite, abdominal distention that is worse after eating, dull pain in the abdomen that improves with warmth or pressure, fatigue, sallow or bright-white complexion, weakness of the limbs, loose stools, edema, chilliness, cold limbs, diarrhea, vomiting, nausea, stuffiness of the chest and epigastrium and feeling of heaviness, Pale, Swollen, wet, Weak, deep, slow.
SPLEEN YANG DEFICIENCY
What are the Xia-Lower He-Sea points of the Fu channels?
LI: ST37
SJ: UB39
SI: ST39
Luo point of LV
LV 5
Various kinds of abdominal swelling and distention belong to
heat.
Which channels DON'T reach the neck? a. SI sinew; b. UB sinew; c. LR sinew; d. GV luo; e. Dai Mai
c. Liver sinew channel; e. Dai Mai (Girdling)
Prison
(Confined or firm)
(Lao Mai)
1. Very deep, 2. Hard, wiry, 3. forceful
Meaning: internal patterns, chronic pain, internal Cold, Qi stagnation, Blood stagnation, abdominal masses, abdominal pains, Blood stasis caused by Cold
a dragon in a cave deep in mountain
Sterilization : high-pressure steam
- 250°F / 121°C
- 15 psi
- 30 minutes
- label with date of sterilization
general signs of excess heat, esp. in HT & ST. acute gastroenteritis, cholecystitis, constipation, delirium, diarrhea, epigastric distention, dysentery, fever, hepatitis, irritability, restlessness, headache, dark urine, nosebleed, mouth ulcers, trigeminal neuralgia

P: full, possibly rapid (shu hong)
T: red (esp at tip), yellow-greasy coat
Xiexin Tang

Indications
Damp-Heat excess with interior clumping.
Heat entering the Heart and Stomach.

Actions
Clears Damp-Heat
Clears Heat and relieves toxicity
Drains Heat and relieves toxicity
Transforms Damp-Heat
6 dahuang
3 huanglian
3 huangqin
What does a red tip indicate?
Heart-Fire or Heart empty-heat
bloating, diaphragm congestion

T: whitish coating
P: slippery
Zhi Zhu Wan
Which herbs is always used as a guiding herb to the upper jiao, especially throat and lungs?
a. xing ren
b. huang qin
c. jie geng
d. ma huang
c. jie geng (platycodon)
Appendix: Small/Fine (Xia mai) *
• Felt like fine thread, but distinct & clear
(same as Thin/Thready)
• Deficiency syndrome (Qi & blood deficiency, Yin deficiency)
• Damp syndrome

what leads to abdominal pain requiring baishao/gancao?
wood over-acting on earth
To clear macules and papules, which herbs do you add to Xi Jiao Di Huang Tang?
a. Pu Huang, Qian Cao, Ce Bai Ye, Bai Mao Gen
b. Shi Gao, Huang Lian, Zhi Zi, Chi Shao
c. Zi Cao, Da Qing Ye, Dan Shen, Xuan Shen
d. Mai Men Dong, Tien Men Dong, Zhi Mu, Chen Pi
c. Zi Cao, Da Qing Ye, Dan Shen, Xuan Shen
cold, flu, upper respiratory tract infection, bronchial or allergic asthma, hypertrophic rhinitis, whooping cough, catarrhal ophtalmia, pleurisy, hydrothorax; high gastric acidity (only if also epigastric stagnation); eczema, blisters (only if clear secretions); arthritis, acute & chronic nephritis (only if puffy face & extremities, decreased urination)

T: floating & tight, floating and weak, floating and rapid
P: pale, white slippery coating
Xiao Qinglong Tang
Hour of Kidney
Riru = 5-7pm. sunset
No appetite, stuffiness of the chest and epigastrium, feeling of cold in the epigastrium that is improved by warmth, feeling of heaviness in the head, sweetish taste in the mouth or absence of taste, no thirst, loose stools, white vaginal discharge, lassitude and feeling of heaviness, Sticky, thick white coating, Slippery, slow.
SPLEEN COLD-DAMP INVADING
What are the Yuan-Source Earth points of the Zang/Yin channels?
HT7
PC7
LU9
LV3
KD3
SP3
Luo point of Ren
Ren 15
Various kinds of jumpiness and insanity with weird and abnormal behavior belong to
fire.
What is the disease of the Chong mai?
counter flow qi and internal urgency (abdominal pain, cramping)
Sterilization : dry heat
338°F / 170°C
Slow
(Chi Mai)
Formerly defined in relation to the breathing rate of the doctor. It was slow if there were less than three breathes during a full in-out respiration of the doctor.
On average it is Less than 60 BPM however an infant has a pulse of 120/140, while a senior may have a normal pulse of 68BPM. (see pulse rate chart)
Meaning: indicates a Cold pattern and a problem in the Yin organs while a Rapid pulse indicates a problem in the Yang organs. A very slow pulse beating twice for each breath cycle is called a Harmful Pulse.
Slow and Heat can occur if there is Kidney yang with damp heat, deficiency of both kidney yin and yang. Also a condition of “true cold and false heat”.
Walking slowly with snowshoes in the arctic
dysentery with blood and pus, damp heat in LI, tenesmus, acute colitis, abdominal pain, dark or scanty urine, burning sensation in anus

P: slippery and rapid
T: red tongue, yellow & greasy coat
Shaoyao Tang

Dx: Heat Toxin or Damp Heat in the LI

Actions
Clears Heat and relieves toxicity
Drains Damp-Heat
Harmonizes Qi and Blood
Moves Qi and Blood
Calms pain of the abdomen
9 dahuang
15 huanglian
15 huangqin
30 shaoyao
15 danggui
5 rougui
6 muxiang
6 binglang
5 gancao
Tongue is Red w/coating. Indicates?
Full heat
general signs of damp heat - anal itching, jock itch, weeping skin conditions in groin, dark/turbid urine, vaginal discharge with yellowish color and strong odor

T: greasy yellowish coat
P: soggy/slippery
Er Miao San
Banxia, gualou, and bei mu are all incompatible with which herb?
a. ren shen
b. fu zi
c. li lu
d. gan cao
b. fu zi
Tight/Tense (Jin mai)
Felt tight & forceful like stretched rope
• Cold syndrome
• Pain syndrome
• Food stagnation
To increase the stop bleeding effects of Xi Jiao Di Huang Tang, Which herbs would you add?
a. Pu Huang, Qian Cao, Ce Bai Ye, Bai Mao Gen
b. Shi Gao, Huang Lian, Zhi Zi, Chi Shao
c. Zi Cao, Da Qing Ye, Dan Shen, Xuan Shen
d. Mai Men Dong, Tien Men Dong, Zhi Mu, Chen Pi
a. Pu Huang, Qian Cao, Ce Bai Ye, Bai Mao Gen
cold/flu, influenza, acute upper respiratory tract infections; allergic rhinitis, atrophic rhinits, sinusitis, meningitis, encephalitis; gastroenteritis, dysentery, food allergies; supurative skin infections (esp. in face - furuncles, hordeolum, palpebral abscess, acne); urticaria, neck rigidity, cerivcal spondylosis, lumbar muscle strain; myasthenia gravis, peripheral facial paralysis, trigeminal neuralgia, arthritis, vertigo from cervical spondylosis or low blood pressure

T: normal to red color with thin white coat
P: floating, tight
Gegen Tang
Earthly Branch of HT

Earthly Branch of SI
Wu = beginning of yin, humidity, yang qi at height, yin creatures come out.
Wei = "not yet", say no, preventing disease before it manifests
Unconsciousness, convulsions, deviation of the eye and mouth, hemiplegia, numbness and tremor of the limbs, aphasia, dysphasia, dizziness, vertigo, headache, stiffness of the tongue, Red, little or peeled coating, deviated, Floating and empty or Wiry, fine and rapid depending on the degree of excess of deficiency.
LIVER WIND DUE TO LIVER YANG RISING
What are the Mu of the Fu?
GB: GB24
ST: CV12
UB: CV3
SI: CV4
LI: ST25
TW: CV5
Luo point of DU
DU 1
Various kinds of acute diseases and stiffness with inability to stretch the 4 limbs belong to
wind.
Face and Mouth Four Ruler point is?
LI4
Rapid
(Shu Mai)
Faster than 90 BPM
This pulse indicates Heat which may be full or empty based on whether the pulse is full or empty.

If wiry it indicates liver-fire, if slippery it indicates Phlegm-fire. Rapid-fine indicates yin deficiency with empty Heat. Rapid, floating and empty also indicates yin deficiency with empty Heat. According to Maciocia it is important to recognize that a rapid pulse indicates empty-heat rather than yin-deficiency. He compares this to a red tongue indicates empty-heat rather than yin deficiency itself. It is a tongue that lacks a coat that indicates yin deficiency.
walking or driving to beat the traffic and get to work in the morning.
slight jaundice, hep A, thirst and constipation, cholecystitis, cirrhosis, gallstone, typhoid fever, malaria

P: deep & full, or slippery & rapid
T: yellow greasy coat
Yinchenhao Tang

Dx: Yang-type jaundice or Damp-Heat jaundice due to Dampness and static Heat accumulating in the Interior.

Actions
Clears & drains Heat and Damp-Heat, Treats jaundice
18 yinchenhao
12 zhizi
6 dahuang
Tongue is Red w/NO coating...indicates?
Empty heat
leucorrhea, candidiasis, eczema, herpes
Er Miao San
Which of the following is best for clearing heat and damp heat in the lower burner?
a. huang lian
b. huang qin
c. huang bai
d. zhi zi
c. huang bai
Moderate/Leisurely (Huan mai)
• Rate = 4 beats/breath (60 bpm)
• Normal (harmonious, gentle with moderate tension)
• Damp syndrome
• SP & ST deficiency
• Qi or blood deficiency

FYI: Morbid (diseased) moderate: sluggish + another pulse (floating, weak, etc.)
Spring Warmth differs from Latent Summerheat in that:
a. In Spring Warmth the pathogen moves quickly to the interior, so few exterior signs
b. Latent Summerheat tends to have more damp heat signs, such as diarrhea, where Spring Warmth tends towards dryness, with constipation being more common
c. A and B
c. A and B
cold/flu, respiratory allergies; localized sweating; low grade fevers (esp chronic); allergic skin reactions, eczema, urticaria; frost bite; stomach pain, food allergy, appendicitis; external injuries, acute muscle sprain, hemiplegia; cervical spondylosis, periarthritis of shoulder, chronic lumbar strain; morning sickness, post-partum fevers; palpitations, paroxysmal tachycardia; general exhaustion

T: thin white coating
P: floating and moderate
Guizhi Tang
Earthly Branch of BL

Earthly Branch of KD
Shen = stretching, squeezing, retreat of yang qi.
You = alcohol, used for trauma, fire-water, positioned at the equinox, on the threshold. entering darkness
Numbness of limbs, tics, shaking of the head, tremors, Pale, deviated, Choppy.
LIVER WIND DUE TO LIVER BLOOD DEFICIENCY
What are all the front Mu points for the Zang?
LU: LU1
PC: CV17
HT: CV14
SP: LR13
LR: LV14
KD: GB25
Great Luo of SP
SP 21
Various kinds of diseases that are characterized by noisy symptoms with the abdomen as big and as noisy as a drum belong to
heat.
Which of the following channels DOES NOT reach the nose? a. ST primary; b. SP sinew; c. BL sinew; d. LR primary; e. GV
b. Spleen sinew channel
Moderate
(leisure also known as the slowed-down pulse)
(Huan Mai)
This is a relaxed, almost slow pulse. It is normal at the right bar, being characteristic of a normal Spleen pulse. It can be a healthy pulse if it is not Floating, nor Deep, nor Full nor Empty. Slowed-Down-Soggy indicates Dampness with Spleen-Qi deficiency. Slowed-Down-Slippery indicates Cold Phlegm Dampness. Slowed-down-fine indicates Qi and Blood Deficiency. Slowed-down-floating indicates weakness of Defensive Qi. Slowed-down-deep indicates weakness of Nutritive Qi. Slowed-down-choppy indicates blood deficiency. Slowed-down-big without force indicates Yin deficiency.
Laying on a sunny Hawaiian beach ,gently but good surf, reading a favorite book. Nowhere special to be
acute appendicitis, inflammation in pelvic/genital region, post-surgical infection/stasis, tidal fever with sudden cold spells

P: moderate, tight, forceful
T: greasy, thin yellow coat
Dahuang Mudanpi Tang

Dx: damp heat in LI with infection [Early-stage intestinal abscess, a condition of excess with interior clumping of Heat and Blood]
Tx: Purge heat
12 dahuang
9 mangxiao
3 mudanpi
9 taoren
15-30 dongguaren
Tongue w/red sides indicates?
Liver-Fire or Gallbladder heat
no appetite, bloating and focal distention in the epigastrium & abdomen, abdominal pain
Zhi Zhu Wan
Of shan zha and mai ya, which is best for reducing and guiding out starchy food stagnation, and which is best for reducing and guiding out greasy and meat food stagnation?
Mai ya for starch
Shan zha for grease/meat
Long (Chang mai)*
• Felt long (up to 4th finger) and straight
• Normal pulse
• LV yang hyperactive
• Excess heat syndrome

{Normal long = long & gentle}
{Morbid or diseased long = long & wiry}
Patient presents with hardness and fullness of the lower abdomen, black stools, manic episodes, sunken replete pulse, and blood stasis papules on the tongue. Which formula would you use?
a. Tao Ren Cheng Qi Tang
b. Ling Jiao Guo Teng Tang
c. Xi Jiao Di Huang Tang
d. Huang Lian E Jiao Tang
a. Tao Ren Cheng Qi Tang
nocturnal emission, sexual dreams; dizziness and blurred vision, sensation of tidal heat waves, dry lips, dry mouth, palpitations, nervousness or irritability, vivid dreaming; cold sensation in the lower jiao (esp genitals), sensation of contraction in the lower abdomen, hair loss

T: pale & flabby, or with thin white & slightly dry coating
P: floating w/o root; or hollow & slightly tight
Guizhi Jia Longgu Muli Tang
Animal of the Heart
Horse = nobility, resonant, sensitive, freedom, beauty, grace, loyal, strong, valiant, courageous, sacrifice self for higher existence, surrender self for deeper purpose,
Shortness of Breath, feeble cough, watery sputum, weak voice, spontaneous sweating, bright white complexion, propensity to catching colds, tiredness, Pale or normal colored, Empty, especially in the right front position.
LUNG QI DEFICIENCY
How does LR 14 treat an Entry-Exit block?
Its name (Qi Men - Cycle Gate) hints at its function. It is from this point that the daily cycle of qi flows into the Lung (specifically LU1). Treat this point to remove the block.
Yuan of LU
LU 9
Various kinds of diseases that are characterized by erosion and swelling of the skin and muscles, sore pain, and shock, belong to
fire.
What is the confluent point for the Yang Qiao Mai?
UB62
Racing
(rapid, urgent)
(Ji Mai)
“It feels hurried, anxious, agitated and urgent.” Faster than 120 BPM. It indicates Heat, possible Heart palpitations, Yin deficiency with Empty-Heat, rebellious Qi of the Penetrating Vessel.
Racing-floating indicates severe empty-Heat from Yin deficiency. Racing-deep indicates rebellious qi in the Penetrating vessel. Racing-floating-empty indicates severe Yin deficiency. Racy-slippery indicates empty-Heat from Yin deficiency with Phlegm. Racy-surging or overflowing indicates Empty heat from Yin deficiency.
an ambulance, sirens blazing, speeding through stop signs, carrying someone who has had a heart attack to the ER of a local hospital.
early stage of acute ileus, life-threatening heat-type emergency, full abdomen, acute cholecystitis, acute pancreatitis, acute appendicitis, bloating, intestinal obstruction, painful abdomen worse upon palpation, delirium, early stage dysentery

P: deep and full, or full-rapid-overflowing (shi shu hong)
T: red tongue, dry with yellow or maroon/black coat, possible cracks
da chengqi tang

Indications
Yang brightness organ-stage disorders which is characterized by Heat accumulating in the Interior and taking form.

Actions
Harshly purges accumulation due to Heat
12 dahuang
6 zhishi
24 houpo
9 mangxiao
Tongue is deep-red...indicates?
more severe than red, but same indications
asthma
Sanzi Yangqin Tang
Downward draining herbs are always used to treat the following except for
a. constipation
b. water accumulation
c. internal excess heat syndrome
d. external wind-heat
d. external wind heat syndrome
Short (Duan mai)*
• Short, only felt distinctly at the Guan position
• Short + forceful = Qi stagnation
• Short + weak = Qi deficiency
Patient presents with hardness and fullness of the lower abdomen, black stools, manic episodes, sunken replete pulse, and blood stasis papules on the tongue. What is the pattern?
a. Spring Warmth with exuberant wind stirring heat
b. Spring Warmth with heat binding with the blood
c. Spring Warmth with intense heat stirring the blood
d. Spring Warmth with Yin deficiency with intense heat
b. Spring Warmth with heat binding with the blood
sexual neurosis, spermatorrhea, premature or inhibited ejaculation, impotence; neurasthenic insomnia; bronchiolitis in children with deficient constitution, persistent pneumonia in children; cardiac neurosis, heart disorders in children; general signs of yin/yang xu and loss of astringing functions; disturbance of vegetative nervous system; hysteric disorders

T: pale & flabby, or with thin white & slightly dry coating
P: floating w/o root; or hollow & slightly tight
Guizhi Jia Longgu Muli Tang
Animal of the Small Intestine
Goat/Sheep = head strong, nature shaman, able to eat anything, one leader - others follow, SI has many medicinal uses, sure-footed, used in sacrifice for emperor/master, virile, long SI, fermented grass of gut used for medicine.
Dry Unproductive Cough with little sputum, blood tinged sputum, low grade fever in the afternoon or evening, malar flush, night sweating, 5 palm heat, insomnia, dry mouth, dry throat, hoarse voice, Red, peeled, cracks in the Lung area, dry, Floating or Thready and Rapid.
LUNG YIN DEFICIENCY
Which part of the body does LR 14 Qimen target relative to LR 13?
14 treats upper
13 treats lower
Yuan of LI
LI 4
Various kinds of muscular twitching and inability to bend forward and backward due to stiffness of the spine that are accompanied by turbid fluids belong to
heat.
Which of the following channels connect to the spine? a. ST sinew; b. SP sinew; c. The six yang channels; d. KI primary; e. LR primary
a, b, c, d
Replete (full, solid)
(Shi Mai)
Long, Wide, Tense, Forceful — it is easily felt at all levels and has a springy quality.

The Replete or Full pulse must be differentiated from other full pulses such as Bowstring, Slippery, Tight, Big, Surging. Full can mean Heart, Stomach or Liver-fire depending on the location, retention of food, Phlegm, Full cold, Stagnant Qi/Blood.
Full-rapid=Full-Heat; Full-Slow=Full-Cold; Full-Tight=Full-Cold; Full-Long=Heat; Full-Bowstring=Full Liver pattern.
An overbearing large person making their way to a) for a Big Mac or B) for a large, slurpy fruit smoothy.
general signs of yangming fu excess. early stage of acute ileus, esp with weaker constitution.

P: full & slippery, esp on R
L: yellow or grey coat, possible cracks
Xiao Chengqi Tang

Indications
Mild Yang brightness organ-stage disorders.

Actions
Moderately purges accumulation due to Heat
12 dahuang
6 houpo
3 zhishi
Tongue is purple...indicates?
Stasis of Blood
acute bronchitis, pneumonia, walking pneumonia, whooping cough, tonsillitis, ear infection, gastritis, duodenal ulcer, vaginal infections, venereal disease
Dai Ge San
A patient presents the following: big, full and rapid pulse, red tongue with yellow coat, high fever, big thirst, big sweat... what category will you use to treat this syndrome?
a. herbs that clear heat and drain fire
b. cool, pungent release exterior
c. herbs that cool the blood
d. herbs that clear heat and relieve toxicity
a. herbs that clear heat and drain fire
Wiry/Stringy (Xuan mai)
• Felt taut, long & straight
("violin string")
• LV & GB dz
• Phlegm and damp retention
• Pain
• Malaria
Patient presents with vigorous fever with pressure pain, spasms of the four limbs and tetanic reversal, manic derangement, red tongue with dry coating, and wiry rapid pulse. What is the pattern?
a. Spring Warmth with exuberant wind stirring heat
b. Spring Warmth with heat binding with the blood
c. Spring Warmth with intense heat stirring the blood
d. Spring Warmth with Yin deficiency with intense heat
a. Spring Warmth with exuberant wind stirring heat
cold hands & feet, pronounced aversion to cold; evidence of cold in LR/GB channel (pain/cold on vertex, low abdomen, genitals); signs of blood xu; evidence of blood stagnation in extremities or LR/GB channel

T: white coat
P: sunken & weak
Danggui Sini Tang
Animal of the Bladder
Monkey = Evolution, between 4 legs and 2, able to train + cultivate, upright posture, unruly, transition to brain.
Dry Cough, dry skin, dry throat, dry mouth, thirst, hoarse voice, Dry, Empty, especially in the right front position.
LUNG DRYNESS
Which aspect of the being does LR 5 affect more than any other LR point?
jing-shen as luo connecting point
Yuan of ST
ST 42
Various kinds of body fluids that are characterized by clearness and coolness belong to
cold.
Of the Qi Jing Ba Mai, which has the disease of internal binds, with male suffering seven hernias and female stagnant masses?
Ren Mai disease
Bowstring (Wiry)
(Zian Mai)
“Like a taut string of a musical instrument”
Large
Forceful
Wiry
Indicates Liver disharmony i.e. Liver-Qi stagnation, Liver-Blood stasis, Liver-Yang rising, Liver-Fire, Liver-Wind. Commonly indicates menstrual pain, PMS, Depression, anxiety, mental illness. Chronic phlegm, chronic pain. It can also indicate chronic phlegm as seen in the aged as well as pain.
Wiry and fine on the left -can indicate Liver Blood deficiency, Liver Yang rising. Wiry on the right, weak on the left can indicate Stomach and Spleen deficiency, liver Qi invading the Spleen
Force tuning a one-string instrument to the point of tension.
cold/flu-related disorder in children (and in Portland), signs of wind-cold with mounting heat signs. Headache, Increasing fever and decreasing chills, Influenza, Painful limbs, Stiffness of the limbs, Bitter taste, Dry nose, Insomnia, Irritability, Night blindness, Ocular pain, Stiffness of the extremities, Toothache

P: floating & slightly surging
T: thin yellow coat
Chai Ge Jieji Tang

Dx: Acute wind damp cold invasion with heat signs
Tx: Release exterior wind cold from muscle layer and clear internal heat
6 chaihu
9 gegen
3 qianghuo
3 baizhi
6 huangqin
3 shigao
3 jiegeng
6 baishao
6 shengjiang
2-3p dazao
6 gancao
Tongue is reddish-purple...indicates?
Heat + Stasis
pulmonary abscess, bronchitis, pneumonia, whopping cough, sinusitis, eye diseases caused by upflaring heat
Weijing Tang
What herb combination best treats a disharmony of the ying and wei?
gui zhi and bai shao
Hollow/Onion Stalk (Hou mai)*
• Pulse is felt at the superficial & deep levels, but empty at the middle
• Loss of blood
• Yin impairment
Patient presents with vigorous fever with pressure pain, spasms of the four limbs and tetanic reversal, manic derangement, red tongue with dry coating, and wiry rapid pulse. What is the best formula?
a. Tao Ren Cheng Qi Tang
b. Ling Jiao Guo Teng Tang
c. Xi Jiao Di Huang Tang
d. Huang Lian E Jiao Tang
b. Ling Jiao Guo Teng Tang
peripheral vascular dz (atherosclerotic arterial dz, varicose veins), frostbite, Reynaud's, erythmoelalgia; peripheral neuritis; erythema multiforme; sciatica, prolapse of lumbar disc, rheumatic arthritis, periarthritis of shoulder; infantile paralysis; gastric or duodenal ulcer, spastic colon, diarrhea; chronic liver ailments; menstrual irregularity, infertility, breast or pelvic fibroids, breast cancer, varicocele; headaches; heart diz, angioneurotic edema; chronic urticaria

T: white coat
P: sunken & weak
Danggui Sini Tang
Animal of the Kidney
Rooster, Chicken = scares easily (fear), slave bird, domesticated, cultivated, willing to sacrifice.
Owl = see in dark, large eyes, shaman, alchemist, humble, wise
Cough, fever, itchy throat, stuffed nose or runny nose with clear watery mucus, sneezing, aversion to cold, aversion to wind, headache, body aches, thin white coating, Floating, Tight.
LUNG INVASION BY WIND-COLD
What does LR 13 Zhangmen tonify, and what common body pain can it treat?
LR 13 regulates the LR & SP, and specifically tonifies the spleen. It can treat lumbar pain with cold.
Yuan of SP
SP 3
Various kinds of vomiting of acid, acute diarrhea, and tenesmus belong to
heat.
Which channels travel around the shoulder? a. Yang Motility; b. SI primary; c. LU primary; d. LU sinew; e. SJ luo
a, b, c, d, e (all)
Tight
(Jin Mai)
“Like a rope”
Very deep
Forceful
Like a rope

It mainly indicates cold evils, all kinds of pain. Floating and tight is exterior, Floating and Deep is interior.
Similar to bowstring pulse but the tight pulse is thicker
A strong, tightly wound rope.
flaring fire in GB, damp heat in LR. hypertension with headaches and red eyes.

P: wiry, forceful, poss rapid
T: reddish (esp on sides), greasy yellow coat
Longdan Xiegan Tang

dx: Full-Heat in the Liver and/or Gall-Bladder channels.
Damp-Heat in the Lower Burner.

Clears and drains Damp-Heat from the Triple Burner (Lower Burner, in particular)
Drains Full-Heat and Fire from the Liver and Gall-Bladder
6 longdancao
6 chaihu
9 huangqin
9 zhizi
6 mutong
9 cheqianzi
12 zexie
9 shengdihuang
3 danggui
6 gancao
Tongue is bluish purple...indicates?
Cold + Stasis
angina pectoris in patients with coronary heart disease, cardiac asthma, intercostal neuralgia, dysphagia (including cancer of esophagus or stomach), chronic cholecystitis, fibrocystic breasts, plum pit (globus hystericus, non-suppurative chondritis
Gualou Xiebai Banxia Tang
What herb combo can enter the heart and unblock Heart yang?
Gui zhi + Gan cao
Leather/Tympanic/Drumskin (Ge mai)*
• Felt at superficial level, large, hollow & taught
• Loss of blood
• Essence impairment
Patient presents with fever, vexation, restless sleep, red tongue, yellow coat, fine rapid pulse. What is the pattern?
a. Spring Warmth with exuberant wind stirring heat
b. Spring Warmth with heat binding with the blood
c. Spring Warmth with intense heat stirring the blood
d. Spring Warmth with Yin deficiency with intense heat
d. Spring Warmth with Yin deficiency with intense heat
signs of water stagnation (thirst w/restlessness, inhibited urination, possible diarrhea); water counterflow (vomiting water, dizziness); water pathogens assailing the lung (cough, foamy saliva); water assailing the surface (heaviness, edema, esp in lower body)

T: white coat
P: floating
Wuling San
River of the Heart
Ji = river that crosses over the Yellow River (LU) and remains clear and pure. Unsoiled from earthly realm, transcends into spirit, place of miracles
Cough, fever, aversion to cold, aversion to wind, sore throat, stuffed or runny nose with yellow mucus, headache, body aches, slight sweating, thrist, swollen tonsils, Red body with thin white or yellow coating, floating and rapid.
LUNG INVASION BY WIND-HEAT
What does LR 8 drain, and from where?
damp heat
genito-urinary
Yuan of HT
HT 7
Which of the following DO NOT reach the throat? a. Yin Linking; b. KI divergent; c. SP primary; d. Penetrating; e. YIn Motility
b. KI divergent channel; c. SP primary channel
Long
(Chang Mai)
Longer than normal - determine by rolling the finger back and forth distil and proximal.
Meaning: Heat, rebellious Qi, phlegm. Long-rapid = internal heat; long-slow=qi stagnation; long-floating = invasion of wind-heat; long-deep = internal Heat; long-wiry = liver disharmony of the full type; long -slippery = Phlegm-Heat; Long-surging = excess Yang and Heat; Long-firm = internal accumulation; long-overflowing-hollow = may indicate hypertension or diabetes.
Picture the pulse starting higher and more proximal on the arm.
Distension of the breasts, Dysmenorrhea, Fullness of the chest, Pain of the hypochondrium, Poor digestion, Premenstrual syndrome, Susceptibility, Belching, Constipation, Distension of the abdomen, Hypertension, Irregular menstruation, Nervous breakdown
Tongue with thin-white coating
Wiry pulse (Xian)

P: wiry
T: reddish on sides, poss purple spots
Chaihu Shugan San

dx-Liver constraint due to stagnation of Qi and Blood Deficiency

Actions
Calms pain
Moves Qi and Blood
Soothes Liver-Qi
6 chenpi
6 chaihu
4.5 chuanxiong
4.5 zhike
4.5 baishao
4.5 xiangfu
1.5 zhigancao
Tongue is purple on SIDES...indicates?
Liver-blood stasis
vomiting, car sickness, morning sickness, hangover, headache, diarrhea, chronic gastritis, chronic persisting hepatitis, aural vertigo, teeth grinding, chronic bronchitis, emphysema, acute asthma in children, stroke, leukorrhea, insomnia, sleepiness, epilepsy, mental diseases, enlarged thyroid
Er Chen Tang
What are the flavors, nature and actions of ma huang?
pungent, slightly bitter, warm
1. induce sweat to relieve exterior
2. open LU and disperse lung qi to control wheezing and stop cough
3. promote urination and reduce edema
Confined/Fixed/Prison (Lai mai)*
• Felt at deep level, long, taut & forceful
• Cold accumulation
• Qi or blood stagnation
Patient presents with fever, vexation, restless sleep, red tongue, yellow coat, and fine rapid pulse. What formula do you choose?
a. Tao Ren Cheng Qi Tang
b. Ling Jiao Guo Teng Tang
c. Xi Jiao Di Huang Tang
d. Huang Lian E Jiao Tang
d. Huang Lian E Jiao Tang
common cold w/water stagnation; urine retention, acute/chronic nephritis, stones in urinary tract, UTI; edema; vomiting (incl. sea/car sickness, alcohol poisoning, Meniere' syndrome, intracranial hypertension, antiobiotic side effects); alcohol-related liver damage; acute GI infection, acute hepatitis, cholestasis in children; cardiac failure, pulmonary heart disease; eye diseases; obesity, high blood lipids; leucorrhea, toxemia in pregnancy, amenorrhea (cold damp); skin diseases (herpes, blisters, urticaria); diabetes; epilepsy (with obvious foamy sputum); hair loss, premature graying

T: white coat
P: floating
Wuling San
River of the Small Intestine
Huai = A polluted river with MSG factories and cancer. does not flow to sea, flows near Yangtze and Shanghai (LI river/mouth)
Sudden swelling of the eyes and face, gradually spreading to the whole body, bright, shiny complexion, scanty and pale urination, aversion to Wind, fever, cough, breathlessness, White, Slippery Coating, Floating, Slippery.
LUNG INVASION BY WIND-WATER
Which body tissues are associated with the Liver in CCM?
Nails, hair
Yuan of SI
SI 4
What are key characteristics of the divergent channels belonging to yang primary channels?
1. They separate from their yang primary channel on the limbs & major joints. 2. They enter both their related zang and paired fu. 3. They resurface at the supraclavicular fossa, neck or face and rejoin their primary yang channel.
Short
(duan Mai)
Shorter than normal
This has two distinct descriptions: 1. only felt in the middle bar pulse or 2. that it can only be felt in the center of each position and has no head nor a tail.
Meaning: severe Qi and Blood deficiency.
Two images:

1. Three mountain peaks with the one in the center being the tallest with the others being small hills or cinder cones next to it.

2. A very tiny jumping frog.
Tongue is purple in CENTER...indicates?
Stasis of Blood in Stomach
gastroenteritis, gastritis, gastrointestinal neurosis, indigestion, hyperchlorosis, hiccuping, acute diarrhea in children, narcolepsy, whooping cough, retention of dead fetus or placenta, induce labor, umbilical infection, cancer of mucus membrane of mouth
Pingwei San
What are the flavors and nature of bai shao? Actions?
sour, bitter, slightly cold
(Herbs that tonify blood)
1. nourish yin
2. astringe ying
Hidden (Fu mai)*
• Felt at the very deepest level (to the bone), thready, feeble & hardly palpable
• Pathogens in the interior
• Severe pain
• Jue syndrome, Yin/Yang disconnect
Patient presents with night fever that abates at dawn, no sweating, good appetite, but emaciated body. What is the pattern?
a. Spring Warmth with yin deficiency and intense heat
b. Spring Warmth with yangming organ disorder with deficiency of Qi and fluids
c. Spring Warmth with Qi and Ying levels both seared
d. Spring Warmth with lingering pathogens in the Yin aspect
d. Spring Warmth with lingering pathogens in the Yin aspect
abdominal masses that are painful when palpated; abdominal bloating &/or pain, esp on lower left; painful menses (dark blood, clots); flushing up (dizziness, headache, ruddy face)

T: pale, white coat, possibly purple spots
P: tight and/or choppy; or sunken & slow
Guizhi Fuling Wan
River of the Bladder
Qing = Flows from Mt. Kunlun, river of milky jade and jing-like appearance, Jade = vibrant health, good skin.
Chronic cough, profuse white sputum that is easy to expectorate, white, pasty complexion, stuffiness of the chest, shortness of breath, dislike lying down (orthopnia), Thick, sticky white coating,Slippery or Weak, floating and fine.
LUNG OBSTRUCTION BY DAMP-PHLEGM
What are significant areas traversed by the Liver primary channel?
groin & genitals, spreads through the lung, up through the naso-pharynx, around eye. meets Du20
Yuan of UB
UB 64
Disease of which extraordinary meridian will cause Yin to be flaccid and Yang to spasm?
Yang Qiao Mai
Stirring (Moving)
(Dong Mai)
“Like a spinning bean”
Slippery
Rapid
Forceful
No head nor tail
Meaning: severe emotional problems, shock, fright, severe anxiety. In cases of shock, the pulse can remain this way for years as in post traumatic stress syndrome (PMT).
A bowling ball knocking all the pins down and one that has fallen spinning in place.
Tongue is Blue...indicates?
Same as bluish-purple...Interior Cold causing stasis of Blood
menopausal syndrome, metrorrhagia, amenorrhea, leukorrhea, high blood pressure, neurasthenia, chronic hepatitis, atrophic rhinitis
Er Zhi Wan
What are three symptoms that mu dan pi + zhi zi treat?
restlessness, irritability, spontaneous sweating, headache, dry eyes, malar flush with dry mouth, distending pain in lower abdomen
red tongue with thin yellow coat
wiry & rapid pulse
Moving/Spinning Bean (Dong mai)*
• Feels round like a bean, short, slippery, rapid & forceful
• Pain
• Fright
Patient presents with night fever that abates at dawn, no sweating, good appetite, but emaciated body. What is the proper formula?
a. Qing Hao Bei Jia Tang
b. Yu Nu Jian
c. Qing Wei Bai Du Yin
d. Ling Jiao Gou Teng Tang
a. Qing Hao Bei Jia Tang
ovarian cysts, uterine myoma, uterine polyp, extra-uterine pregnancy, placenta residues in post-partum patients; chronic pelvic inflammation, cervical erosis; dysfunctional uterine or vaginal bleeding, lochiorrhea, dysmenorrhea, endometriosis, infertility, habitual abortion (if blood stasis); prostatic hyperplasia, thyroid enlargement, chrnoic hepatitis, skin disorders (purpura, dermatitis, eczema, gangrene, moles, cuticles, warts), disorders of the eye; disorders with blood stasis in low abdomen (nervousness, neurosis, hysteria, depression, epilepsy, nephritis, testicular dz, arteriosclerosis, hypertension, bed wetting, bronchial asthma)
Guizhi Fuling Wan
River of the Kidney
Ru = "The Woman River", source/everything river, woman working with hands, crafting, supporting all life, oceanic, branch of Huai River.
Barking cough, flaring of the ala nasi, profuse yellow or green sputum that is foul smelling, blood tinged sputum, shortness of breath, asthma, stuffiness in the chest, dryness of the mouth, constipation, Red body, thick, sticky yellow coating, Slippery, Rapid, Full.
LUNG OBSTRUCTION BY PHLEGM-HEAT
Which body region to all secondary Liver channels go through?
genitals
Yuan of KI
KI 3
Which of the following channels connect to stomach/middle jiao? a. SI primary; b. PC primary; c. LU primary; d. SJ primary; e. LR primary
a, b, c, d, e (all)
Slippery
(Hua Mai)
“Like pearls rolling on a plate” or “raindrops on a lotus leaf”
Smoothly flowing with a horizontal rolling flow
Uninhibited
Learn by feeling the pulse of a pregnant woman in and advanced state of pregnancy.
Meaning: Phlegm, food retention possible Blood stagnation. It usually indicates damp heat, however it can also indicate cold-phlegm, damp-phlegm, wind-phlegm, etc. This meaning is transferred according the organ position the pulse is found.
Pearls rolling on a plate - raindrops on a lotus leaf - ice skating
Tongue body shape indicates Blood & Nutritive QI + Full or Empty heat...T/F?
True
all kinds of intense pain, muscle/nerve spasm, gastrointestinal cramping and pain, traumatic injuries, acute infections, diabetes, skin diseases, restless leg syndrome, facial spasm, stubborn hiccups, pancreatitis, sore gums, chronic pain due to injury of lumbar vertebrae, ulcers, eczema, urticaria, trigeminal neuralgia....
Shaoyao Gancao Tang
What condition to mu dan pi + zhi zi treat?
liver qi constraint with blood deficiency that has turned into heat
Soggy/Soft (Ru mai)
• Felt at the superficial level, thready & soft
• Deficiency syndrome
• Damp
Summerheat most closely resembles:
a. Yangming Organ Disorder
b. Yangming Channel Disorder
b. Yangming Channel Disorder
signs of jueyin syndrome, mixture of upper/middle jiao heat & lower jiao cold (chronic diarrhea w/abdominal pain, skinny constitution, body weakness, cold hands/feet; thirst; pain, discomfort, or heat in ST area; little desire to eat when hungry; posible skin problems); general signs of ascariasis (recurring episodes of abd pain, nausea, and vomiting after eating, cold hands/feet)
Wumei Wan
Mountain of Heart
Mt. Song = Sacred, highest peak, above all others, place of worship and connection with spirit/heaven, place of sacrifice and devotion
Cough, breathlessness, vomiting of white, watery, frothy sputum, chilliness,Pale body, thick, sticky white coating, Fine and Slippery or Weak, floating.
LUNG OBSTRUCTION BY PHLEGM-FLUIDS
What is Shan disorder, and how is it treated?
hernia, severe lower abdominal pain, genital pain and swelling

Treated by: Liver channel, specifically LR1
Yuan of PC
PC 7
Which of the following channels DON'T connect to the tongue? a. HT luo; b. UB sinew; c. SP primary; d. SP divergent; e. LR primary
e. Liver primary channel
Choppy (Rough)
(Se Mai)
“Like a knife scrapping bamboo” “raindrops in the sand”
Moderate — almost slow
Fine
Speeds up and slows down and/or beats with uneven strength.
Meaning: Blood deficiency, damaged essence, blood stagnation,. It can indicate heart diseases and palpitations.
a volkswagon bug or small car drivng slowly over unevenly spaced speedbumps
shaoyang disorders, sweating in the head only, palpitations, dry cough, loose stools, deficient constitution, baihe bing (JG), lyme (arnaud)

P: wiry and tight
T: white moist coat
Chaihu Guizhi Ganjiang Tang
A thin tongue indicates?
Deficiency
depression, anxiety, insomnia, PMS, menopause, asthma
Baihe Zhimu Tang
or
Baihe Dihuang Tang
What are the basic actions of xuan shen + jin yin hua?
1. clear heat and relieve toxicity
2. reduce swellings and dissipate nodules
3. treat sores, carbuncles and painful swellings.

Together they strengthen each other to achieve the strongest level of heat clearing.
Minute (Wei mai)
• Felt extremely thready, feeble, barely palpable
• Deficiency syndrome
Patient presents with high fever and restlessness, headache and dizziness, red complexion and rough breathing, thirst and copious sweating, slight aversion to cold in the back, dry yellow tongue coating, and surging rapid/hollow pulse. What is the pattern?
a. Qi and fluids damaged by Summerheat
b. Qi and fluids verging on collapse due to Summerheat
c. Summerheat entering yangming
d. Summerheat injuring the HT and KI
c. Summerheat entering yangming
all shaoyin symptoms; fatigue, cold hands & feet, blue lips; loss of consciousness or clouded consciousness

T: fat & pale, tooth marks
P: weak & slow, or feeble & rapid
Sini Tang
Mountain of the Small Intestine
Mt. Song = the winding road leading up to the mtn. Many caves and deep retreats entering into mtn, an entrance to underworld and non-material or spirit.
Palpitations, shortness of breath on exertion, spontaneous sweating, pallor, tiredness, listlessness, Pale or normal color. Possibly a mid-line crack reaching the tip with swelling on the sides, Thready-Weak, or Missed Beat.
HEART QI DEFICIENCY
What are two points on the Great Toe for bleeding, and how do they differ?
Moxa SP1
Bleed LR1
Yuan of SJ
SJ 4
Which extraordinary meridian has the disease of pain in the heart?
Yin Wei Mai
Faint (Minute)
(Wei Mai)
Thin, thready
Meaning : deficient Blood and Qi. It can also indicate Yin deficiency.
Fine with fullness (wiry or tight) indicates dampness.
Fine and weak in very young people indicates constitutional deficiency of Original Qi.
Is often associated with digestive weakness, diarrhea and menstrual disorders.
"withering heights", anorexic woman, Frederic Chopin playing such exquisitely sensitive music the last year of his life, consumptive and emaciated.
Thin & pale tongue indicates?
Blood
low energy due to qi and yin deficiency, pulmonary tuberculosis, pulmonary heart disease, chronic bronchitis, arrhthmia, angina pectoris, low blood pressure, acute myocardiac infarction, cardiogenic shock, congestive heart failure, rheumatic heart disease, encephalitis B, infectious mononucleosis, nervous exhaustion, iron deficiency anemia
Sheng Mai San
What is the primary actino of xuan shen + mai men dong + sheng di huang?
Nourishing yin over the whole body. Generally they treat yin deficiency. "Add more water to the river to move the boat."
Frail/Weak (Ruo mai)
• Felt at the deep level, thready and very soft
• Qi and blood deficiency
Patient presents with high fever and restlessness, headache and dizziness, red complexion and rough breathing, thirst and copious sweating, slight aversion to cold in the back, dry yellow tongue coating, and surging rapid/hollow pulse. What formula would you prescribe?
a. Sheng Mai San
b. Lian Mei Tang
c. Wang Shi Qing Shu Yi Qi Tang
d. Bai Hu Tang
d. Bai Hu Tang
Which herb combo can regulate the Liver by balancing its yin (structure & storage) and yang (function of coursing & draining)?
Bai Shao and Chai Hu

Bai Shao (sour, bitter & sl. cold) work on the yin aspect by nourishing yin and blood. Chai Hu works on the yang function by dispersing qi stagnation, cooling LR fire and prevent excess LR yang rising (by dispersing?).
heart attack and other life-threatening diseases; obvious immune deficiency in elderly

T: fat & pale, tooth marks
P: weak & slow, or feeble & rapid
Sini Tang
Mountain of the Bladder
Mt. Kunlun = mythical axis connecting heaven and earth, natural barrier and extension of great wall, distant and desolate northern mountains, place of cold water, source of river Qing.
Palpitations, cyanosis of the lips, shortness of breath on exertion, tiredness, listlessness, spontaneous sweating, feeling of stuffiness or discomfort in the heart region, feeling of cold, bright-pale face, cold limbs, Pale, wet, swollen, Deep-Week or Knotted.
HEART YANG DEFICIENCY
What is Ming Huang used for and where is it?
Severe, yellow jaundice
Middle of inner thigh
Yuan of GB
GB 40
Which of the following channels reach the vertex? a. BL primary; b. SJ divergent; c. GB sinew; d. LR primary; e. GV
a, b, c, d, e (all)
Bound (Knotty)
(Jie Mai)
Slow, Irregular
Meaning: Internal cold with stagnation of Qi and Blood. It always indicates a Heart disharmony, Heart palpitations. It can be felt after surgery. In young people it can indicate a constitutional deficiency of Original Qi, or severe yang deficiency caused by overwork or excessive sexual activity during puberty.
Bound with strength means Qi stagnation from Cold; chronic Phlegm in the aged; food retention; Qi stagnation, emotional problems, Blood stagnation, abdominal masses. Bound without strength may indicate Heart disease or constitutional deficiencies.
An very old person trudging along barely able to take the next step.
Thin, red & peeled tongue indicates?
Deficiency of Yin
for stifling sensation in the chest, pneumonia, recalcitrant lung disease with congealed phlegm in the lung. or phlegm in chest as in sensation of heart disease. pulmonary heart disease.
Xiao Xianxiong Tang
What is the primary action of rou gui + huang lian?
Communication between the heart and kidney (xin shen bu jiao)
Scattered (San mai)*
• Felt at the superficial level, scattered & uneven
• Qi exhaustion
Patient presents with high fever and restlessness, headache and dizziness, red complexion and rough breathing, thirst and copious sweating, slight aversion to cold in the back, dry yellow tongue coating, and surging rapid/hollow pulse. The pathogen has failed to resolve, and the patient begins to show signs of damage to fluids and Qi deficiency. What formula would you prescribe?
a. Sheng Mai San
b. Bai Hu Jia Ren Shen Tang
c. Wang Shi Qing Shu Yi Qi Tang
d. Bai Hu Tang
b. Bai Hu Jia Ren Shen Tang
general signs of SP & KD yang xu (chills, cold hands/feet, patient curls up in bed); gen signs of dampness (dizziness, feeling of heaviness, chronic fatigue, cough with clear phlegm, palpitations, diarrhea, urinary problems, muscle cramps/trembling, unsteady balance, edema)

T: thick, pale or sl blue, scalloped, with white & greasy coating
P: fine and sunken
Zhenwu Tang
Mountain of the Kidney
Mt. "Heavenly Breath" = headwaters of river Ru, source river, motherly, nourishing,
Palpitations, insomnia, dream-disturbed sleep, poor memory, dizziness, vertigo, anxiety, startles easily, dull-pale complexion, pale lips, Pale, thin, slightly dry, Choppy or Thready.
HEART BLOOD DEFICIENCY
How does Liver 2 Xingjian reduce anger?
LR2 is the fire point on this wood channel and thus "drains" wood into fire
Yuan of LV
LV 3
Which of the following channels converge at the supraclavicular fossa? a. ST primary; b. SI divergent; c. ST sinew; d. LU divergent; e. BL primary
a. ST primary; c. ST sinew; d. LU divergent
Intermittent
(Dai Mai)
Slow with regular intermittent stops
Meaning: Heart disharmony, Shock, deficient yin. Need to count the beats as I may only stop after 50 beats.
Someone who is recovering from a serious illness, beginning to cautiously walk outside taking regular moments to sit and recoup.
Swollen & pale tongue indicates?
Retention of dampness from Yang deficiency
cough accompanied by dull pain or heavy feeling in the chest, expectoration of yellow/green mucus (or drainage of thick mucus from sinuses), dry mouth & throat but no desire to drink, sensatin of fullness & restlessness; possibly low-grade fever, or asthmatic breathing with inability to lay down
Weijing Tang
What are the flavors and actions of fang feng?
pungent, sweet
(warm, pungent herbs that release the exterior)
1. dispels wind in all 12 channels
2. releases exterior
3. controls dampness to stop pain
Hurried/Abrupt (Cu mai)
• Rapid with irregularly missed beats
• Excess heat syndrome
• Qi and blood stagnation
• Phlegm retention
• Food stagnation
• Prostration – abrupt + weak

• WM: cardiovascular dz
Patient presents with fever, shallow breathing, restlessness, yellow urine, thirst, spontaneous sweating, fatigued limbs, wearied spirit, red tongue with dry yellow coating, and a weak empty pulse. What is the pattern?
a. Qi and fluids damaged by Summerheat
b. Qi and fluids verging on collapse due to Summerheat
c. Summerheat entering yangming
d. Summerheat injuring the HT and KI
a. Qi and fluids damaged by Summerheat
heart dz, hypertension, hypotension; edema, chronic nephritis, urotoxicity; Meniere syndrome; Buerger's dz; leucorrhea, amenorrhea, dysmenorrhea; gastritis, gastric or duodenal ulcers, prolapse of stomach, chronic colitis, stomach cancer; emphysema, chronic throat infection; sciatica; spontaneous sweat, stubborn night sweats; tremors in elderly, eczema, night blindness

T: thick, pale or sl blue, scalloped, with white & greasy coating
P: fine and sunken
Zhenwu Tang
Hexagram for the Heart
#44 = Gou = encountering, union of male and female,
Palpitations, insomnia, dream-disturbed sleep, startles easily, poor memory, anxiety, mental restlessness, malar flush, low-grade fever, night sweating, dry mouth, dry throat, 5 palm heat, Red, little or no coating, tip redder and swollen, deep midline crack reaching the tip, Floating-empty and rapid or Fine-rapid.
HEART YIN DEFICIENCY
Does needling LR 3 tonify or sedate LR Xue?
LR3 (Tai Chong) nourishes LR blood and yin
sedates yang and wind
Xi-Cleft of LU
LU 6
What is the disease of Yin Qiao Mai?
Yang will be flaccid and Yin will spasm
Skipping (Hasty)
(Cu Mai)
Rapid and intermittent (irregular stops)
Meaning: Replete Heat and is always related to a Heart disharmony. It can also indicate food retention or Phlegm with internal Heat or stagnant Qi or Blood. It also can be rebellious Qi with anger.
It is associated with mental illness, chronic bronchitis, Phlegm-Heat and heart disease.
An angry psychotic walking quickly along the roadside, erratically yelling and shouting at anything or nothing.
Swollen & red or normal colored tongue indicates?
Retention of damp heat
Xin Yi Hua + Cang Er Zi + Bai zhi
Dispel wind, open the nose and nasal passages. Treat sinus problems such as a stuffy nose with turbid discharge and frontal or sinus headache. Pungent flavors and warm natures open the nasal passages and stop pain, bitterness of cang er zi dries dampness.
Knotted (Jie mai)
• Slow with irregularly missed beats
• Excessive Yin
• Cold phlegm retention
• Blood stagnation

• WM: cardiovascular dz
Patient presents with fever, shallow breathing, restlessness, yellow urine, thirst, spontaneous sweating, fatigued limbs, wearied spirit, red tongue with dry yellow coating, and a weak empty pulse. What formula would you prescribe?
a. Sheng Mai San
b. Lian Mei Tang
c. Wang Shi Qing Shu Yi Qi Tang
d. Bai Hu Tang
c. Wang Shi Qing Shu Yi Qi Tang
shaoyin symptoms with false heat rising signs (from SP & KD yang xu); fatigue, restlessness, anxiety, palpitations, insomnia, dizziness, poor digestion

T: pale, white coat
P: weak & submerged; possibly slippery/soggy in right guan
Qianyang Dan
Hexagram for the Small Intestine
#33 = Dun = Retreat, earth-bound sun.
Palpitations, thirst, ulcers in mouth and tongue, mental restlessness, insomnia, red face, dark urine, hematuria, bitter taste, Red, tip redder and swollen with red points, yellow coating, midline crack reaching to the tip, Full, rapid, overflowing.
HEART FIRE
Which part of the body does LR 4 Zhongfeng target?
Lower jiao (metal point - metal descends)
Xi-Cleft of LI
LI 7
The Biao part (the tip) of the 12 regular meridians is located at: a. head/face; b. neck; c. back; d. four extremities; e. chest
a. head/face; c. back; e. chest
Pulse Rates
According To
Age
AGE RATE
0-1 120/140
1-3 110
4-10 84/90
11-15 78-80
16-35 76
36-50 72/70
50+ 68
ear infection, restlessness, intercostal/subcostal distress, visual disturbance, swollen lymph glands, temporal headache

T: thin white coat or none
P: fine & wiry (esp on L); possibly deep never strong
Xiao Chaihu Tang
24 chaihu
9 huangqin
9 renshen
12 banxia
9 shengjiang
9 dazao
9 gancao
Stiff tongue indicates?
Interior Wind
Bo He + Lian Qiao
Disperse wind-heat in the upper Jiao and also can clear heat, relieve toxicity, and dissipate nodules. Yin Qiao San.
Intermittent/Regularly Intermittent (Dai mai)
• Missing beats at regular intervals
• Zang Qi deficiency (esp. HT Qi deficiency)
• Wind syndrome (e.g myocarditis)
• Pain
• Fear & fright
• Injury

• WM: cardiovascular dz syndrome
Patient presents with diminishing fever, non-stop sweating, panting, and a scattered, big pulse. What is the pattern?
a. Qi and fluids damaged by Summerheat
b. Qi and fluids verging on collapse due to Summerheat
c. Summerheat entering yangming
d. Summerheat injuring the HT and KI
b. Qi and fluids verging on collapse due to Summerheat
insomnia & anxiety

T: pale, white coat
P: weak & submerged; possibly slippery/soggy in right guan
Qianyang Dan
Hexagram for the Bladder
#12 = Pi = "NO!", hindrance, separation, stagnation
Mental restlessness, palpitations, bitter taste, insomnia, dream-disturbed sleep, startles easily, incoherent speech, mental confusion, rash behaviour, uncontrolled laughter or crying, agitation, shouting, muttering to oneself, mental depression and dullness, aphasia or coma, Red, yellow-sticky coating, midline crack with yellow prickles on it. Possible redder on the tip and swollen with red points, Full, Rapid, Slippery or Rapid, Overflowing, Slippery, or Rapid, Full, Wiry.
HEART - PHLEGM FIRE
Which part of the body does LR 5 Ligou target?
the genitals.
Xi-Cleft of ST
ST 34
Posterior Head and Neck Four Ruler point is?
LU7
How many floating pulses are there?
Seven
heat in the chest and cold in the stomach, diarrhea, borborygmus, fever w/slight chills, poss nausea/vomiting

Red-tipped tongue, slippery-white coating
Wiry pulse (Xian)
Huanglian Tang
9 huanglian
9 guizhi
9 ganjiang
9 gancao
6 renshen
12 banxia
9 dazao
Flaccid tongue indicates?
Deficiency of body fluids
Ju Hua + Sang Ye
Disperse wind-heat, treat LU & LR at same time. Can disperse heat from upper jiao, or clear heat from LR and anchor LR. Ju hua more to liver, sang ye more to lung. Ling Jiao Gou Teng Tang - tx extreme heat turned into wind with LR yang rising. Ju Hua clears/anchors LR, Sang ye helps descend LU to balance LR.
Patient presents with diminishing fever, non-stop sweating, panting, and a scattered, big pulse. What formula would you select?
a. Sheng Mai San
b. Lian Mei Tang
c. Wang Shi Qing Shu Yi Qi Tang
d. Bai Hu Tang
a. Sheng Mai San
numerous food allergies; cold hands and feet; children who are listless, pale and prone to stomach aches; prolapse; internal cold
Fuzi Lizhong Tang
Hexagram for the Kidney
#20 = Guan = watching, to look/see with eyes of an owl
Mental confusion, incoherent speech, unconsciousness, lethargic stupor, vomiting, rattling sound in the throat, aphasia, White, Thick, sticky, slippery coating, midline crack reaching the tip with prickles. Tongue body swollen, Wiry, Slippery.
HEART - PHLEGM MISTING
Which body areas are affected by the Liver?
genitals, sinews, eyes, blood, nails
?
Xi-Cleft of SP
SP 8
The Biao part of all three feet Yang is situated at: a. chest; b. abdomen; c. Back-shu; d. head/face; e. four extremities
d. head/face
How many sinking pulses are there?
Four
modification for allergic skin reactions, eczema, syphilis
add to base formula:
12g jinyinhua, 12g xuanshen, 12g tufuling
Long tongue indicates?
Tendency to heat
Ge Gen + Chai Hu
Clear heat, relax muscles, treat shaoyang and yangming together. Chai Ge Jie Ji Tang (wind cold -> heat, affecting 3 yang. sx- lessened, aversion to cold, incr. fever, no sweat, HA, eye pain, dry nose, restless/irritability, isomnia, dry throat, plugged ears, thin/yellow tongue coat, floating/rapid pulse.
Patient presents with HT heat with restlessness and agitation, non-stop wasting thirst, crimson-red tongue with dry yellow coating. What is the pattern?
a. Qi and fluids damaged by Summerheat
b. Qi and fluids verging on collapse due to Summerheat
c. Summerheat entering yangming
d. Summerheat injuring the HT and KI
d. Summerheat injuring the HT and KI
constipation, bloating, pus in the stool

P: deep/weak, slippery at depth
T: pale with some redness on sides; whitish or possibly yellowish coat
Wen Pi Tang
Holographic Map of Heart:
Location
Orifice
Manifestation
Significant Points
Hand Shao Yin HT Channel
Inner Lower Crest
tip of tongue
face
sensitive parts, finger tips, erogenous zones, armpit, eyes - window of shen
Palpitations, pain in the heart region, stabbing or stuffy in the precordal region or behind the sternum that may radiate to the inner aspect of the left arm or to the shoulder, stuffiness of the chest, discomfort or feeling of oppression or constriction of the chest, cyanosis of the lips and nails, cold hands, Purple or purplish spots, Thready and hesitant or missed beat.
HEART BLOOD STASIS
Which body tissues are associated with the Liver in CCM?
nails, eyes, sinews
Xi-Cleft of HT
HT 6
Which extraordinary meridian supports the reproductive functions associated with the Ren mai?
Chong Mai
(Chong is the sea of blood, Ren is responsible for pregnancy)
How many rapid pulses are there?
Four
hot diarrhea with heaviness, dysentery with blood more than pus, acute colitis or enteritis

Red tongue, yellow coating
Rapid-Wiry pulse (Shu Xian) OR deep, thin, weak expiring
Baitouweng Tang (Anenome Decoction; replaced by shaoyao tang in modern times)
6 baitouweng (anenome)
9 huanglian
9 huangbai
9 qinpi (ash branch bark)
A short red & peeled tongue indicates?
Exterior deficiency of Ying
Ge Gen + Huang Qin + Huang Lian
Clears heat, stops dysentery & diarrhea. Ge gen releases ext, reduces fever, raises yang qi, help stop diarrhea. HQ & HL clear heat, dry damp, strengthen intestine, stop diarrhea - esp. work at damp heat in MJ. Ge Gen Qin Lian Tang - fever, foul odor diarrhea, burning around anus, red tongue w yellow coat, rapid pulse.
Patient presents with HT heat with restlessness and agitation, non-stop wasting thirst, crimson-red tongue with dry yellow coating. What formula would you select?
a. Sheng Mai San
b. Lian Mei Tang
c. Wang Shi Qing Shu Yi Qi Tang
d. Bai Hu Tang
b. Lian Mei Tang
chronic constipation; thyroid disorders with constipation; colon cancer and other degenerative diseases of large intestine

P: deep/weak, slippery at depth
T: pale with some redness on sides; whitish or possibly yellowish coat
Wen Pi Tang
Holographic Map of Small Intestine:
Location
Orifice
Manifestation
Significant Points
Hand Tai Yang S.I. Channel
outer lower crest
tip of tongue
face
Purpura, blood spots under the skin, hematuria,blood in the stools, menorrhagia or metorrhagia, Poor appetite, abdominal distention after eating, fatigue, sallow or bright-white complexion, weakness of the limbs, loose stools, edema, diarrhea, vomiting, nausea, stuffiness of the chest and epigastrium and feeling of heaviness, Pale, Thready, Weak.
SPLEEN NOT CONTROLLING BLOOD
What is the pinyin name for the GB channel?
Zu Shaoyang
Xi-Cleft of SI
SI 6
What is the influential point for the Zang Organs?
LR13
how many slow pulses
Five
post-partum mothers, recovery from severe illness, cancer, general signs of blood and/or qi deficiency, no heat signs, anxiety, exhaustion, spermatorrhea, weakness of low back/knees, poor wound healing

P: empty or fine and weak
T: pale, thin white coat
Shiquan Dabu Tang
All Inclusive Tonifying Decoction

dx- (Qi and Blood Xu)

actions - tonify and warm qi and blood
si wu tang + si junzi tang + huangqi + danggui

9 renshen
9 baizhu
12 fuling
12 baishao
12 danggui
9 chuanxiong
15 shu dihuang
15 huangqi
6 rougui
6 zhigancao
A cracked tongue indicates?
Full Heat or
Deficiency of Yin
Chai Hu + Bai Shao
Regulate LR qi, tx LR qi stagnation or dysfunction of LR organ system. Xiao Yao San & Si Ni San. Chai hu goes to yang aspect of LR, Bai shao goes to yin aspect of liver. Balance yin/yang of liver.
Patient presents with sudden coughing of blood, nose bleeding, coughing and rough breathing, lack of mental and visual clarity, scorching heat with restlessness and thirst, red tongue, yellow coating, and a wiry, rapid pulse. What is the pattern?
a. Wind stirring summerheat
b. Summerheat damaging the LU collaterals
c. Summerheat entering the HT ying
d. Summerheat entering the blood level
b. Summerheat damaging the LU collaterals
bitter taste in the mouth, dry throat, blurred vision; restlessness; depression and poor appetite; distention in sides of body; alternating hot and cold; intercostal and subcostal distress

T: thin white coat or no coat
P: fine & wiry (esp of left hand), possibly deep, never strong
Xiao Chaihu Tang
Holographic Map of Bladder:
Location
Orifice
Manifestation
Significant Points
Foot Tai Yang BL Channel
outer lower crest
ears, genitals+anus
hair of head
head, neck, back, spine, ming men, perineum, lateral foot
Bearing down sensations, prolapse of stomach, uterus, anus or vagina, frequent urination, urgency of urination, Poor appetite, abdominal distention after eating, fatigue, sallow or bright-white complexion, weakness of the limbs, loose stools, edema, diarrhea, vomiting, nausea, stuffiness of the chest and epigastrium and feeling of heaviness, Pale, Empty or Weak.
SPLEEN QI SINKING
Does the GB primary channel connect with the genitals?
Yes
Xi-Cleft of UB
UB 63
Jie and Biao (ties and branches) parts situate at: a. four extremities; b. chest; c. back; d. head; e. abdomen
b, c, d, e
How many damp pulses.
three
Quivering tongue indicates?
Spleen-QI deficiency
Chai Hu + Zhi Shi
Regulate LR & SP qi, tx LR & SP qi stagnation. Si Ni San. Regulate up (chai hu) & down (zhi shi).
Sx - fullness in chest, hypochondriac/epigastric/abdo pain, wiry pulse
Patient presents with sudden coughing of blood, nose bleeding, coughing and rough breathing, lack of mental and visual clarity, scorching heat with restlessness and thirst, red tongue, yellow coating, and a wiry, rapid pulse. What formula would you prescribe?
a. Xi Jiao Di Huang Tang with Yin Qiao San
b. Shen Xi Dan
c. Qing Ying Tang
d. Ling Jiao Gou Teng Tang
a. Xi Jiao Di Huang Tang with Yin Qiao San
discomfort in the sides of the chest, depression, menstrual cramping and/or pre-menstrual breast distention, poor appetite; sensation of fullness in the epigastrium, general fatigue, flushed face

P: fine and wiry
T: thin white coat or no coat
Xiaoyao San
Holographic Map of Kidney:
Location
Orifice
Manifestation
Significant Points
Foot Shao Yin KD Channel
inner lower crest
ears, anus, genitalia
hair of head
brain, bones, clavicle, low back, knees, genitalia, perineum, prostate, Kidney's,
Stuffiness, fullness and distention of the epigastrium and lower abdomen, no appetite, bitter taste, jaundice, feeling of heaviness, thirst without desire to drink, nausea, vomiting, abdominal pain, loose stools with offensive odor, burning sensation of the anus, scanty and dark-yellow urine, low grade fever, headache, Sticky-yellow coating, Slippery, Rapid or Soft.
SPLEEN DAMP-HEAT INVADING
What does the GB Divergent Channel connect with?
LR, GB, HT, esophagus
Xi-Cleft of KI
KI 5
The points at the Biao of head/face indicate: a. Biyuan (sinusitis); b. deafness; c. brain disorders; d. eye disorders; e. headache
a, b, c, d, e (all)
What pulse indicates Phlegm-dampness?
Slippery
anxiety, insomnia, palpitations, fatigue, memory loss, menstrual dysregulation, dream-disturbed sleep, phobias, dull or pale complexion

P: weak fine (ruo xi), fine-faint (xi wei)
T: pale, thin white coat
guipi tang

Dx: Sp deficiency and Ht blood deficiency
Tx: Tonify spleen to support heart blood
renshen 9
baizhu 9
fuling 9
zhigancao 6
huangqi 9
danggui 15
suanzaoren9
longyanrou 6
yuanzhi 6
muxiang 6
with 3-6g shengjiang & 1p dazao
Deviated tongue indicates?
Interior Wind
Chai Hu + Sheng Ma
Raise Yang qi to lift prolapse. Bu Zhong Yi Qi Tang - tx SP/ST qi xu w. poor appetite, fatigue, weak extremeties, s.o.b., unwilling to speak, pale cmplx, loose stool, weak or soft pulse. organ prolapse, chronic diarrhea, dysentery or uterine bleeding. Dz due to deficienty ascending energy (LR & SP). Both herbs raise yang qi (SM -> SP, CH->LR). Use <3g each to control direction.
Patient presents with scorching heat, convulsions of the limbs, possibly with opisthotonus, clenched jaw, confounded, unclear spirit, phlegm congestion in the throat, and rapid wiry pulse. What is the pattern?
a. Wind stirring summerheat
b. Summerheat damaging the LU collaterals
c. Summerheat entering the HT ying
d. Summerheat entering the blood level
a. Wind stirring summerheat
general signs of shaoyang syndrome (alternating heat/cold, ribside discomfort/distention, restlessness, dry mouth), deficient constitution (anemia, cold hands/feet, mental symptoms; sweating at the head only, broken breathing, palpitations, dry cough, loose stools, inhibited urination

P: wiry and tight
T: white and moist coating
Chaihu Guizhi Ganjiang Tang
Official of Heart
Archetype
Emperor
divine leader, resonant with spirit realm, rules with love
Anti-archetype:
selfish, obsessed leader, self-centered, conceded,
Dizziness, tinnitus, vertigo, insomnia, poor memory, deafness, night sweating, afternoon fever, dry mouth at night, 5 palm heat, malar flush, thirst, sore back, sore knees, nocturnal emissions, constipation, dark-scanty urine, Red, no coating, cracks, Floating, empty or Thready and Rapid.
KIDNEY YIN DEFICIENCY
What type of qi fills the extraordinary channels and organs?
Jing Qi - pure and hot
Xi-Cleft of PC
PC 4
Which extraordinary meridian meets the ST meridian at ST30 and travels down the medial side of the leg?
Chong Mai
T/F the choppy pulse indicates deficient qi and blood or stagnation.
true
irregular heart beat, SOB, spontaneous or night sweats, palpitations, consumption, anxiety, constipation/hard stool, fatigue, mitral valve prolapse, neurasthenia, weight loss, pulmonary tuberculosis, dry cough w. blood-tinged phlegm, rheumatic heart disease

P: irregular, or empty & rapid, or slow
T: pale red with little/no coat, possibly dry
Zhigancao Tang

Dx: Qi and Blood def, irregular pulse
Tx: tonify qi and yang, disinhibit yang, restore the pulse
12 zhigancao
48 sheng dihuang
12 maimendong
12 huomaren
9 guizhi
9 shengjiang
6 renshen
6 ejiao
30 p dazao
Toothmarked tongue indicates?
Spleen Qi- deficiency
Sheng Ma + Huang Lian
SM - disperses ST fire by ascending, HL - bitter descends ST fire. w/o cold congealing around heat due to SM disperse. Qing Wei San - toothache from ST fire (pain, HA, flushed face, fever, tooth prefers cold, or bleeding gums, swollen/sore gums, red lips, painful jaw, bad breath, dry mouth, red tongue w. yellow oat, slipper/rapid pulse.
Patient presents with scorching heat, convulsions of the limbs, possibly with opisthotonus, clenched jaw, confounded, unclear spirit, phlegm congestion in the throat, and rapid wiry pulse. What formula would you choose?
a. Xi Jiao Di Huang Tang
b. Shen Xi Dan
c. Qing Ying Tang
d. Ling Jiao Gou Teng Tang
d. Ling Jiao Gou Teng Tang
distention, "stuck feeling," pain in stomach/lower abdomen/ribside, mildly cold hands/feet, constipation or incomplete stools, diarrhea with tenesmus; dry, swollen eyes

P: wiry and slippery, esp in LR/GB
T: thin white coat or white/yellow greasy coat
Si Ni San
Official of Small Intestine
Archetype
High Priest
chamberlain, teacher of purification and spiritual matters
Anti-archetype:
sinner, false prophet, fallen Guru, abuse of authority - money, sex.
Aversion to cold, soreness of lower back, weak knees, impotence, premature ejaculation, lassitude, profuse clear urination, scanty clear urination, edema of the legs, infertility, poor appetite, loose stools, diarrhea, bright-white complexion, dizziness, tinnitus, Pale, Swollen, Wet, Deep-Weak.
KIDNEY YANG DEFICIENCY
What GB points treat severe headaches (on the affected side)?
GB4-6, thread
Xi-Cleft of SJ
SJ 7
The sinews reach the head: a. Hand-Taiyang; b. Hand-Shaoyin; c. Foot-Taiyin; d. Foot-Shaoyang; e. Foot-Jueyin
a. Hand-Taiyang; d. Foot-Shaoyang
T/F the floating pulse always indicates an external disease such as a cold or flu
False
cold pain in waist & knees, inhibited joints, yang xu signs, numbness or paralysis

P: fine & weak
T: pale with white coat
Duhuo Jisheng Tang


Dx: Painful obstruction with Liver and KD def, qi and blood def
Tx: dispel wind damp, stop pain, tonify LR and KD, tonify qi and blood
9 duhuo
6 rougui
(6g each) wind/damp herbs
fangfeng
xixin
qinjiao
(6g each) blood herbs
danggui
chuanxiong
baishao
(6g each) liver/kidney herbs
sheng dihuang
sangjisheng
duzhong
niuxi
(6g each) qi/spleen herbs
renshen
fuling
zhigancao
Tongue coating reflects state of Yang organs. T/F
True
Especially Stomach
Female pelvic organs
endocrine system
venous circulation
portal system
skin nerves
Sepia
Patient presents with scorching heat with restlessness and agitation, restless sleep, sometimes delirious speech, crimson red tongue with a fine rapid pulse. What is the pattern?
a. Wind stirring summerheat
b. Summerheat damaging the LU collaterals
c. Summerheat entering the HT ying
d. Summerheat entering the blood level
c. Summerheat entering the HT ying
general signs of blood deficiency (dizziness, blurred vision, dry skin, brittle/pale nails, easily startled); irregular/scanty menstruation with abd pain or frequent uterine bleeding; uterine bleeding in pregnancy; retention of lochia in post-partum; masses of palpable congealed blood in lower abd

T: pale, white coat
P: fine & wiry, fine & choppy
Si Wu Tang
Official of Bladder
Archetype
District Official
Vassal, protecting outer boundaries of kingdom, Monkey King, Robin Hood, Angels: ideals and celestial.
Anti-Archetype:
rebel force, evil sheriff, Godfather, wants to take power from Kingdom
Shortness of breath, difficult inhalation, cough, asthma, spontaneous sweating, cold limbs, swelling of the face, soreness of lower back, Pale, Deep, Weak, Tight.
KIDNEY FAILING TO RECEIVE QI
Which GB point treats jaw disorders like lockjaw and TMJD?
GB7 - lower end of sensory cortex
Xi-Cleft of GB
GB 36
What is the confluent point for the Du Mai?
SI3
T/F The slippery pulse can indicate damp-heat
True
chronic pain of fixed & piercing nature, discomfort in the chest, restlessness, insomnia, heat sensations at night

P: fine & choppy
T: usually dark, purple spots on top, sublingual stasis signs
Xuefu Zhuyu Tang

dx-Blood Stasis


Actions
Disperses Blood stasis
Moves Blood
Soothes Liver-Qi
Unblocks the Channels
12 taoren
12 honghua
9 danggui
9 sheng dihuang
9 niuxi
6 zhike
6 chishao
4.5 chuanxiong
4.5 jiegeng
3 chaihu
3 gancao
Thin white coating indicates?
Stomach is digesting properly...Normal
Huang Bai + Cang Zhu
Cang zhu is pungent, bitter & warm - strengthens SP, dry/transform damp. Huang Bai is cold & bitter, LJ, clear heat, dry damp. Together they dry dampness, treat damp heat lin or bi syndrome, damp heat in LJ, damp heat leukorrhea, damp heat diarrhea. Er Miao Wan.
Huang Lian + Wu Zhu Yu
Clear LR & harmonize ST, purge fire, direct qi downward, for LR fire overacting on ST & ST/LR disharmony. Use HL 6:1 WZY. Sx: hypochondriac/chest pain, acid reflux, belch/burp, vomit, bitter taste, red tongue/yellow coat, wiry/rapid pulse.
Patient presents with scorching heat with restlessness and agitation, restless sleep, sometimes delirious speech, crimson red tongue with a fine rapid pulse. What formula do you choose?
a. Xi Jiao Di Huang Tang
b. Shen Xi Tang
c. Qing Ying Tang
d. Ling Jiao Gou Teng Tang
c. Qing Ying Tang
with Bi syndrome: Pain changes with weather which tells you that _________ is involved
the exterior
Official of Kidney
Archetype
Minister of Health: creation of power and strength, memory and will. Sacrifice for others.
Alchemist in the basement, magician, humble shaman-healer
Anti-archetype: Saroman, gollum, abuse of magic and power, obsession, conceded, dark, twisted, stuck below, cannot transform jing
Bone disorders, weakness of knees andlegs, poor memory, loose teeth, falling hair, sore back, lack of sexual activity, Red peeled, Floating-Empty or Leather
KIDNEY ESSENCE DEFICIENCY
Which GB point is best for ear conditions?
GB2
Xi-Cleft of LV
LV 6
Foot-Jueyin Liver meridian connect with following organs: a. tongue body; b. eye system (tissues surrounding the eye); c. lips; d. genital; e. upper teeth
b. eye system; c. lips; d. genital
T/F Stirring pulse can occur in post traumatic stress patients
True
skinny constitution, pale face color, dry skin, spasmodic abdominal pain, heavy head, dizziness, bloating/edema, threatened or habitual miscarriage, beriberi, chronic nephritis

P: sunken or weak
T: pale, white & possibly greasy coating
Danggui Shaoyao San

Blood def with wind (cramping), Liver oppressing the spleen (wood overacting on earth). Disharmony between the Liver and Spleen. Liver Blood Deficiency interferes with the free-flowing function of that organ and constrains the Qi.

Tx: Tonify blood, soothe liver and strengthen spleen
9 danggui
48 shaoyao
24 zexie
24 chuanxiong
12 fuling
12 baizhu
Thick coating indicates?
Pathogenic factor
Long Dan Cao - flavor, nature, actions
Bitter, cold.
GB, LR, ST.
Eliminate heat and damp from LR & GB, sedate LR.
Patient presents with scorching heat with agitation and harassment, purple-black rashes, vomiting blood, nose bleeding, clouded spirit and raving, a crimson red tongue and charred coating. What is the pattern?
a. Wind stirring summerheat
b. Summerheat damaging the LU collaterals
c. Summerheat entering the HT ying
d. Summerheat entering the blood level
d. Summerheat entering the blood level
Heart Pathology
(all diseases), MI's, seizure, epilepsy, insomnia, STI's, vertigo, anxiety, addiction, HT disease, stroke, narcissism, obsessions, depression, anemia, blood conditions, suicide, fear of death, vertigo,
Malar flush, mental restlessness, night sweating, low-grade fever, afternoon fever, insomnia, scanty-dark urine, hematuria, dry throat, soreness of the lower back, nocturnal emissions with dreams, excessive sexual desire, dry stools, constipation,Red, peeled, cracked, red tip, Floating-Empty, Rapid.
KIDNEY YIN DEFICIENCY FIRE
How do GB9 and GB12 function like Sky Window points?
Treat sense organs and Jing-Shen
When are the shu-stream points indicated?
heaviness of the body and pain of the joints
T/F moderate or relaxed pulse is classified as slow.
True
threatened miscarriage, especially in first trimester

P: weak, possibly sl. rapid
T: pale
Danggui San


Dx: “Restless Fetus” caused by def heat and weak earth
Tx: Tonify blood, stabilize the fetus
6-9 danggui
6-9 huangqin
6-9 shaoyao
6-9 chuanxiong
3-9 baizhu
Absence of coating indicates?
Deficiency of Stomach-Yin or
Kidney Yin if also RED
Long Dan Cao + Zhi Zi
purge excess LR/GB fire, clear LR/GB damp heat. Formulas: Long Dan Xie Gan Tang and Xie Qing Wan. Upbearing sx: HA, red eyes, bitter taste, deafness, swollen ears/ear infection. Downpouring sx: Swollen, painful genitals, genital itching, vaginal discharge, Lin syndrome, genital herpes. Young people w. strong const for allergies.
Patient presents with scorching heat with agitation and harassment, purple-black rashes, vomiting blood, nose bleeding, clouded spirit and raving, a crimson red tongue and charred coating. What formula would you prescribe?
a. Ling Jiao Gou Teng Tang
b. Shen Xi Dan
c. Qing Ying Tang
d. Xi Jiao Di Huang Tang
b. Shen Xi Dan
Small Intestine Pathology
inappropriate sexual talk, un-sacred behavior, smartass, irreverence, making fun of sacred, orthodox, stiff neck, IBS, dark burning urine, diabetes, allergies, autoimmune disease, food allergies,
Sallow complexion, dull headache, insomnia, dream-disturbed sleep, numbness of limbs, malar flush, dizziness, dry eyes, blurred vision, anger, soreness of the lower back, soreness of the knees, dry throat, tinnitus, night sweating, 5 palm heat, dry stools, nocturnal emissions, scanty menstruation, amenorrhea, infertility, Red, Peeled, Cracked, Thready and Rapid or Floating-Empty or Choppy.
KIDNEY AND LIVER YIN DEFICIENCY
What is the #1 point for sleep and where is it found?
Anmien - just superior and posterior to GB 12
Foot-Taiyin Spleen meridian connect with the following organs: a. heart; b. liver; c. spleen; d. stomach; e. kidney
a. heart; c. spleen; d. stomach
What category of pulse indicates metabolic coldness.
Slow
pale complexion, fatigue, dizziness, poor digestion, anemia, general immune deficiency

P: weak
T: pale, thin white or no coat
Ba Zhen Tang

Dx: Concurrent Deficiency of the Qi and Blood which is most often due to imbalances caused by chronic disease or excessive loss of blood.

Actions
Nourishes Blood
Tonifies Qi
Si Wu Tang + Si Junzi Tang
9 each:
renshen
fuling
baizhu
zhigancao
shu dihuang
danggui
baishao
chuanxiong
White coating means?
Cold
Patient presents with vigorous fever with restlessness and thirst, copious sweating, scanty urination, focal stomach distension, a feeling of heaviness in the body, and a surging, big pulse. What is the pattern?
a. Summerheat-damp overflowing through the middle jiao
b. Summerheat-damp blocking the middle jiao
c. Summerheat-damp with cold
b. Summerheat-damp blocking the middle jiao
Bladder Pathology
prostate cancer, ovarian cancer, UTI's, sexual disfunction, fever with cold feeling, IBS, LGS, cold feeling, insecurity, poor immune syst, infertile, back pain, alcoholism, allergies, rash, teeth problems, weak bones,
Palpitations, mental restlessness, insomnia, poor memory, dizziness, tinnitus, deafness, soreness of the lower back, nocturnal emissions with dreams, afternoon fever-tidal fever, night sweating, scanty, dark urine, dry throat, Red-Peeled, tip redder, crack in the midline reaching the tip, Floating-Empty, or Thready, Rapid.
KIDNEY AND HEART NOT HARMONIZED
Where is GB 13, what is its name, and its use in psychiatric treatments?
Ben Shen - Root of Shen
found 1/3 of the way from ST8 to Du24
treats wind and phlegm
Which meridian do reach the brain directly? a. Foot-Shaoyin Kidney meridian; b. Du channel; c. Foot-Jueyin Liver meridian; d. Foot-Taiyang Bladder meridian; e. Foot-Shaoyang Gallbladder meridian
b. Du channel; d. Foot-Taiyang Bladder meridian
What category of pulses indicate Heat?
Rapid
blood deficiency signs, irregular & scanty menses with abdominal pain or uterine bleeding, palpable congealed blood in lower jiao

P: fine & wiry or fine & choppy
T: pale with white coat
Si Wu Tang

dx - Blood deficiency
actions - harmonize liver, move and nourish blood
12 shu dihuang
9 baishao
6 danggui
6 chuanxiong
Yellow coating means?
FULL Heat
Patient presents with vigorous fever with restlessness and thirst, copious sweating, scanty urination, focal stomach distension, a feeling of heaviness in the body, and a surging, big pulse. What formula do you use?
a. San Shi Tang
b. Xin Jia Xiang Ru Yin
c. Bai Hu Jia Cang Zhu Tang
c. Bai Hu Jia Cang Zhu Tang
Kidney Pathology
heart palpatations, fatigue, high B.P., low back pain, knee pain, osteoporosis, bad teeth, balding, leukemia, use n abuse of steroids, hormone imbalances, impotence, infertility, fearful, anxious, pupil of eye - dilated
Dry cough that is worse in the evening, blood tinged sputum, dry mouth, thin body, breathlessness on exertion, soreness of the lower back, weak limbs, afternoon fever, night sweating, nocturnal emissions, 5 palm heat, Red-Peeled with transverse cracks in the lung area, Floating-Empty or Thready and Rapid.
KIDNEY AND LUNG YIN DEFICIENCY
In scalp acupuncture, which jiao does GB 15 Tou Lin Qi (Near Tears) treat?
Middle Jiao
When are the jing-well points indicated?
Fullness below the heart
A racing pulse is faster than 90BPM
true
daybreak diarrhea, general signs of spleen/kidney deficiency, poor appetite, sore low back, aversion to cold, possible abdominal pain, intestinal tuberculosis, allergic colitis

P: deep, slow, w/o force (chi chen wu li)
T: pale, thin white coat
Sishen Wan

Dx: Daybreak diarrhea due to SP & KD yang xu
12 buguzhi
3 wuzhuyu
6 roudoukou
6 wuweizi
Grey coating indicates?
EXTREME Cold or Heat
Patient presents with fever, aversion to cold, headache, absence of sweating, tetany, focal distension in the ST, restlessness, and thin slimy tongue coating. What is the pattern?
a. Summerheat-damp overflowing through the middle jiao
b. Summerheat-damp blocking the middle jiao
c. Summerheat-damp with cold
c. Summerheat-damp with cold
Symbolism of Heart
1. resonant with heaven
2. reflection of universal light
3. connection with spirit
4. listening within
5. miracle worker
6. power of universal connection
7. source of unity, peace, love
8. ruler of sacred
9. inner spirit guid
10. internal shaman
11. source of light and wisdom
12. unity conciousness
13. surrender self for higher purpose
14. creator of change
15. illuminator
16. candle at center of lotus
17. intuition
18. reception of dao
19. propriety
20. leading with love
Weakness, Shortness of breath, abdominal distention, poor appetite, aversion to cold, cold limbs, profuse clear urination or scanty urination, loose stools, diarrhea, day break diarrhea, edema of the abdomen and legs, facial swelling, chronic diarrhea, borborygmus, Pale, Swollen,Deep, Weak, Slow.
KIDNEY AND SPLEEN YANG DEFICIE