Herbs Iii Final Exam Study

Front 1

Gui Zhi & Bai Shao

Back 1

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.

Front 2

Gui Zhi & Gan Cao

Back 2

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.

Front 3

Ju Hua & Gou Qi Zi

Back 3

Nourish the LR, brighten the eyes, treat LR and KD deficiency with blurry vision. Together they clear out turbidity and then replenish.

Ju hua is sweet, bitter and sl cold. Goes to LR & LU, disperses wind heat, clears and anchors the liver. It doesn't dry the way that other clearing herbs can.

Gou Qi Zi is sweet & neutral. Goes to LR, LU & KD to tonify an dnourish, moisten the lung, brighten the eyes.

Front 4

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

Back 4

a. qiang huo (notopterygium)

Front 5

Which herb expels wind, alleviates, pain, and relieves yangming headache?
a. bai zhi
b. qiang huo
c. chai hu
d. cang zhu

Back 5

a. bai zhi (angelica dahurica)

Front 6

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

Back 6

c. excess exterior caused by wind-cold

Front 7

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

Back 7

c. jie geng (platycodon)

Front 8

Banxia, gualou, and bei mu are all incompatible with which herb?
a. ren shen
b. fu zi
c. li lu
d. gan cao

Back 8

b. fu zi

Front 9

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

Back 9

c. huang bai

Front 10

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?

Back 10

Mai ya for starch
Shan zha for grease/meat

Front 11

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

Back 11

d. external wind heat syndrome

Front 12

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

Back 12

a. herbs that clear heat and drain fire

Front 13

What herb combination best treats a disharmony of the ying and wei?

Back 13

gui zhi and bai shao

Front 14

What herb combo can enter the heart and unblock Heart yang?

Back 14

Gui zhi + Gan cao

Front 15

What are the flavors and nature of bai shao? Actions?

Back 15

sour, bitter, slightly cold
(Herbs that tonify blood)
1. nourish yin
2. astringe ying

Front 16

What is the primary actino of xuan shen + mai men dong + sheng di huang?

Back 16

Nourishing yin over the whole body. Generally they treat yin deficiency. "Add more water to the river to move the boat."

Front 17

What is the primary action of rou gui + huang lian?

Back 17

Communication between the heart and kidney (xin shen bu jiao)

Front 18

Chai Hu + Bai Shao

Back 18

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.

Front 19

Huang Lian + Wu Zhu Yu

Back 19

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.

Front 20

Long Dan Cao - flavor, nature, actions

Back 20

Bitter, cold.
GB, LR, ST.
Eliminate heat and damp from LR & GB, sedate LR.

Front 21

What herb combo can treat qi stagnation with water accumulation or spleen qi deficiency with qi and food stagnation?

Back 21

Bai Zhu and Zhi Shi

Front 22

What is an herb combination that can
1. move qi, invigorate blood, and stop pain
2. treating qi stagnation and blood stasis syndrome
3. with symptoms of hypochondriac pain, alternating chills and fever and wiry pulse?

Back 22

Xiang Fu and Chuang Xiong

Front 23

What are the indications for Chuan Lian Zi and Yan Hu Suo and what causes them?

Back 23

Indications are pain caused by blockage or stagnation, bitter taste, red tongue with yellow coat, and a wiry, rapid pulse.

Front 24

What is an herb combo used to guide herbs all over the body and what is their function?

Back 24

Niu Xi and Jie Geng unblock qi and blood in order to restore normal circulation.

Front 25

Actions of Shu Di Huang, Shan Zhu Yu and Shan Yao

Back 25

1. Tonify and nourish KD, LR & SP
2. Tonify the yin
3. Astringe & Replenish the essence.

Front 26

Which herb combo can regulate the Liver by balancing its yin (structure & storage) and yang (function of coursing & draining)?

Back 26

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?).

Front 27

Which herb trio forms Zeng Ye Tang (Replenish the Fluids Decoction)? What are the indications of this combo?
Hint: "add water to the river to move the boat"

Back 27

Mai Men Dong, Sheng Di Huang & Xuan Shen - Zeng Ye Tang This formula, Moistens Dryness, Promotes generation of Body Fluids, Clears Heat and acts as a Laxative.

Indications
Dry intestines due to injury to the Fluids, usually from a warm-febrile disease (Wen Bing).

Symptoms include Chronic pancreatitis, Constipation, Dry mouth after radiotherapy, Dry throat, Hemorrhoid, Intestinal tuberculosis, Irritation of the intestines, Thirst, Ulcer.

Possible Tongue Appearance: Red dry tongue
Possible Pulse Patterns: Thin rapid pulse, Weak pulse

If no bowel movement within 12 hours, add da huang & mang xiao (Zeng Ye Cheng Qi Tang)

Front 28

Mai Men Dong, Sheng Di Huang & Xuan Shen

Back 28

Zeng Ye Tang. Nourish the yin & replenish fluids over a large area of the body (LU, KD, ST, intestines). Treat heat pathogens and wen bing damage to yin. Resolve constipation due to intestinal dryness & "add water to the river to move the boat." MMD is sweet, slightly bitter & slightly cold - goes to SP, ST & HT. XS is salty, sweet, bitter, cold and goes to KI, LU, ST. SDH is sweet, bitter and cold, goes to HT, KI, LR. Xuan Shen and Sheng Di Huang clear heat & cool blood to resolve latent heat pathogens in blood layer or to prevent them from going deeper.

Front 29

What herb pair that is central to Gui Zhi Tang works to harmonize ying and wei?

Back 29

Bai Shao & Gui Zhi

Front 30

How do Gou Qi Zi & Ju Hua treat blurry vision and brighten the eyes?

Back 30

Gou Qi Zi goes to LR & KD to tonify and nourish (helping to brighten eyes) as well as moisten the lungs. Ju hua goes to LU & LR to disperse wind heat and to clear and anchor LR. Together they clear out turbidity before replenishing.

Front 31

What is the primary function of Huang Qi and Dang Gui?

Back 31

Tonify the qi to build the blood.

Front 32

What herb combo can build post-partum blood, promote lactation and help qi get into the body so that qi can command blood and blood can act as the vehicle for qi around the body?

Back 32

Huang qi and Dang gui

HQ tonifies taiyin and warms. DG goes to LR, HT, SP to nourish blood and harmonize ying

Front 33

What is a mild herb combo that can strengthen the spleen and eliminate dryness?
Hint: it works on the source of dampness by draining and drying the spleen simultaneously.

Back 33

Bai Zhu & Fu Ling

BA dries and tonifies, FL drains. Treats phlegm and water accumulation, helps spleen transform dampness.

Front 34

What herb combo (hint: trio) restores qi and yin and astringes to protect the yin essence, treating heat stroke, coughing, chronic lung problems, asthma, altitude sickness and those trying to quit smoking?

Back 34

Wu Wei Zi, Ren Shen, Mai Men Dong - making up Sheng Mai San. WWZ astringes yin essence & LU, stops sweating, generates fluids, arrests thirst. RS tonifies yuan qi, SP/LU, generates fluids, calms shen, nourishes Zhi. MMD nourishes yin, moistens LU, clears heat, generates fluids.

Front 35

Long Gu & Mu Li:

1. three main actions
2. relationship to each other

Back 35

1a. Sedate and calm the shen to treat insomnia and palpitations: LG astringes HT & KD, ML astringes KD essence.
1b. Settle and anchor LR & yang (symptoms include irritability, anxiety, anger, dizziness, vertigo)
1c. General astringing qualities treat spont. sweat, night sweat, night emissions, leukorrhea, excess menst. bleeding.
2. Xiang Xu - strengthen each other

Front 36

What herb combo can treat pain from liver qi stagnation with heat manifesting as pain in the chest, epigastrium and costal region? Hint: this pair forms a two-herb formula typically prepared as a powder.

Back 36

Yan Hu Suo & Chuan Lian Zi - basic structure for treating pain caused by blockage or stagnation of qi or blood. Together they form Jin Ling Zi San which is said to calm pain, drain heat, move and regulate qi and soothe liver qi.

Indications include red tongue with yellow coat and wiry or rapid pulse; symptoms include Cholecystitis, Chronic gastritis, Dysmenorrhea which is worse with consumption of hot food or drinks, Hepatitis, Hiatus hernia, Intermittent pain of the epigastrium, Intermittent pain of the hypochondrium, Painful hernia, Peptic ulcer.

Front 37

Zhi shi and Hou po together help to move qi, guide out accumulations, reduce Pi syndrome and elminate Man syndrome. What are the herbs' flavors, channel affinities and mechanisms of action? What is one key formula the pair appears in?

Back 37

Houpo is pungent, bitter and warm; it goes to LI/LU & SP/ST. It transforms & dries dampness and directs qi downward. Zhi shi is bitter, pungent and slightly cold; it goes to LR, SP & ST. It breaks up & guide out stagnant qi & accumulations in the digestive tract. Together Zhi shi and Hou po appear in Da Cheng Qi Tang, which is indicated for Yangming organ heat. Symptoms include painful epigastric & abdominal distension, possible fever & profuse sweating from hands and feet, severe constipation & flatulence, irritability and/or delirious speech, and painful abdomen made worse with pressure.

Front 38

Zhi Shi and Bai Zhu appear together in Zhi Zhu Tang/Wan. What are their flavors, channel affinities and actions? What does this formula treat?

Back 38

Zhi Shi is pungent, bitter and slightly cold, going to the ST, SP and LI to break up and move stagnation and accumulations. Bai Zhu is bitter, sweet and warm - it warms the stomach and spleen, tonifies the SP and helps to drain water. This formula treats SP-qi food stagnation with symptoms including distension of the epigastrium, firmness, broad focal distension in the epigastrium due to congested fluids, poor appetite, regurgitation. Pale tongue, greasy-white coating
Slippery-Deep-Wiry pulse

Front 39

How can ratios of Zhi Zhu Tang be modified?

Back 39

For treating spleen xu with qi & food stagnation with a focus on tonifying & warming the center, use 1 part zhi shi to 2 parts bai zhu (zhi zhu wan).
For greater focus on qi stagnation with water accumulation, indicated by hardness under the heart, use 1 BaiZhu: 2 Zhi shi (zhi zhu tang) - this focuses more on movement, with zhishi strongly moving and baizhu warming & protecting the stomach.

Front 40

Bai Zhu & Fu Ling are key players in Zhen Wu Tang (True Warrior Decoction). How do they work together and what might this formula treat?

Back 40

Bai Zhu & Fu Ling strengthen the spleen and eliminate dampness by both drying and draining simultaneously. Fu ling is sweet/bland, neutral, goes to HT, SP & LU and has a stronger draining action compared to Bai Zhu. Bai Zhu is bitter, sweet and warm, goes to the SP/ST and is more tonifying and drying. Zhen Wu Tang is indicated for Spleen and Kidney Yang deficiency with water accumulation: Difficult urination, abdominal pain, aversion to cold, heavy and aching extremities, generalized body edema, loose stools or diarrhea, dizziness, palpitations, absence of thirst, heavy sensation in the head, coughing, and vomiting

Front 41

Gou Teng and Tian Ma are two of the chief herbs in the formula Tian Ma Gou Teng Yin. What do they do, how do they do it, and what are some indications for this formula or combo?

Back 41

Gou Teng is sweet and cool, going to HT & LR. Tian Ma is sweet and neutral, going to the LR. Together they anchor the liver, extinguish wind and have a xiang shi relationship, treating LR yang rising with LR wind symptoms.
Indications for this formula (which also includes banxia to transform phlegm) include red tongue with wiry/rapid pulse. Symptoms are cerebrovascular accident, dizziness, Essential hypertension, Headache
Hemiplegia, Spasms of the extremities, Tic, Tinnitus
Aphasia, Blurred vision, Conflicting dreams, Epilepsy, Insomnia, Restless sleep and Sensation of heat in the head.

Front 42

Which pair acts as "blood mover in the qi" and "qi mover in the blood?"

Back 42

Chuan Xiong (qi mover in the blood) and Xiang Fu (blood mover in the qi). Move the qi and invigorate the blood and stop pain, regulate the qi and blood, and treat qi and blood stagnation.