Internal Med I Dr. Qian Pas

Front 1

what are the three etiologies of common cold

Back 1

1. external pathogen
2. weak constitution - kid/sp/lu qi def
3. li qi or shi xing li qi

Front 2

what are w/c sx:

Back 2

chills & fever, more chills than fever, HA, body aches, nasal obstruction, clear, nasal discharge, cough

Front 3

what is tongue & pulse for w/c?

Back 3

T: pale & thin, white coat
P: superficial & tense

Front 4

what w/c fomrula would you use if you have a stiff neck?

Back 4

ge gen tang

Front 5

what w/c fomrula would you use for major headaches?

Back 5

chuan xiong cha tiao san

Front 6

what w/c formula would you use for heavy sensation in the joints and swelling in the joints?

Back 6

qiang huo shen shi tang

Front 7

what w/c formula would you use for external w/c but mainly wind, must have sweat, more chills than fever?

Back 7

gui zhi tang

Front 8

what w/c formula would you use for external w/c w/ internal dampness with nausea & vomiting?

Back 8

huo xiang zheng qi san

Front 9

what are common points for exterior conditions?

Back 9

li4, lu7, sj5, gb20, du16

Front 10

what points are added for LU with w/c conditions?

Back 10

ub13, lu1, lu5, lu6

Front 11

what points could you use for w/c with moxa?

Back 11

moxa gb20, ub13

Front 12

what are the main sx for exterior conditions?

Back 12

mostly exogenous disease w/ HA, nasal obstruction, sneezes, chills and fever
occurs all year
mostly in spring & winter

Front 13

what are main sx of w/h?

Back 13

more fever than chills, sore throat, thirst, HA, cough w/ yellow phlegm

Front 14

what is T/P for w/h?

Back 14

T: red, esp on border, thin, yellow
P: rapid, superficial

Front 15

what formula for a mild w/h with a cough?

Back 15

sang ju yin

Front 16

what formula for a w/h with severe condition like sore throat

Back 16

yin qiao san

Front 17

what formula for flu in the summer?

Back 17

xiang ru san

Front 18

what formula for flu in the fall?

Back 18

sang xin tang

Front 19

what points do you add for wind heat?

Back 19

exterior: li4, lu7, sj5, gb20, du16
lu: ub13, lu1, lu5, lu6
heat: du14, li11, lu10
severe sore throat: lu7, kid6, bleed lu11

Front 20

what points do you add for toxic throat?

Back 20

severe sore throat: lu7, kid6, bleed lu11

Front 21

if a wind heat occurs in the summer what herbs do you add?

Back 21

xiang ru & pei lan which are aromatic to transform damp

Front 22

what are the sx of complex condition of external cold & internal heat?

Back 22

exterior cold - more chills than fever, HA, body ache, no sweat
internal heat in the Lu - cough with yellow, thick sputum, scanty, dark, urine, dry stool or constipation

Front 23

what condition can lead to pneumonia?

Back 23

external cold and internal heat

Front 24

what is T & P associated with exterior cold & interior heat?

Back 24

T: red, thin, white & mixed with yellow
P: superficial & rapid

Front 25

what is the treatment for external cold & internal heat conditions?

Back 25

release exterior by acrid & cool herbs
clear internal heat

Front 26

what is the formula for external cold & internal heat?

Back 26

ma xing shi gan tang

Front 27

what do you add if internal heat gets worse, more thick, yellow sputum?

Back 27

da qing long dan

Front 28

why would you use qing qi hua tan wan?

Back 28

to clear heat & transform phlegm

Front 29

why would you use qing zao ju fei tang?

Back 29

for severe heat and dehydration

Front 30

what is qian jing wei jing tang used for?

Back 30

severe pneumonia

Front 31

what herbs are often used to clear lung heat?

Back 31

huang qin, tian hua fen, gua luo

Front 32

what points are used for external cold & internal heat?

Back 32

w/c: lu5, lu6, li4, ub13, gb20, sj5
internal lu heat: lu10, li11, du14
bleed ear apex

Front 33

what are sx of common cold due to qi def?

Back 33

chills & fever, easily catches external pathogen, HA, body aches, cough, must have SOB, fatigue, spontaneous sweat, weak voice, poor appetite

Front 34

what is tongue & pulse for common cold due to lu qi def?

Back 34

T: pale, thin, white coat
P: superfical, weak

Front 35

what is the treatment for common cold due to qi def?

Back 35

release exterior by acrid & warm
tonify qi

Front 36

what sx are indicated for ren shen bai du san?

Back 36

qi def - weak constitution, weak immune system, pathogens attack body, high fever, severe shivering, severe body aches, heavy sensation

Front 37

why would you use yu ping feng san?

Back 37

for very weak immunity or for preventative measures

Front 38

what points are indicated for common cold w/ qi def?

Back 38

ext: du16, dj5, lu7, li4, gb20
qi def: st36, ren17, ren12, ren6
exterior: ub13, lu1, lu5, lu9

Front 39

what is the etiology of common cold from deficiency?

Back 39

external pathogen
weak constitution

Front 40

what are the sx of common cold from yang def?

Back 40

more chills than fever, spontaneous sweating, SOB, fatigue
different sx: cold sx - cold body, cold limbs, copious urine, loose stool or diarrhea

Front 41

what are T & P for common cold due to yang def?

Back 41

T: pale, thin, white coat, possible teethmarks, slippery coating
P: superficial, weak, slow, may be slippery b/c of yang def

Front 42

what is treatment for common cold due to yang def?

Back 42

tonify yang
release exterior

Front 43

what is the formula for common cold due to yang def?

Back 43

shen fu zai zao san

Front 44

what points are used for common cold due to yang def?

Back 44

all qi def: st36, ren17, ren12, ren6
yang def: du4, ren4 w/ moxa

Front 45

what are sx of common cold due to blood def?

Back 45

chills & fever, HA, body aches, dizziness, blurry vision, palps, insomnia, poor memory, change of period - scanty, delayed

Front 46

what are the T & P for common cold due to blood def?

Back 46

T: pale, thin body, coating - thin, white
P: superficial & thready

Front 47

what is the treatment for common cold due to blood def?

Back 47

release exterior
nourish blood

Front 48

what formula is used for common cold due to blood def?

Back 48

cong bai qi wei yin

Front 49

what points are used for common cold due to blood def?

Back 49

rel. ext: gb20, sj5, lu7, li4, du16, ub13, lu6, lu9
blood def: ub17, sp6, sp10

Front 50

what are the sx of common cold due to yin def?

Back 50

more fever than chills, HA, body aches, unproductive cough, hot sensation @ 5 centers, night sweats, insomnia

Front 51

what are T & P for common cold due to yin def?

Back 51

T: thin, red body, scanty coating
P: superficial, thready, rapid

Front 52

what formula is used for common cold due to yin def?

Back 52

jia wei rui tang

Front 53

what points are used for common cold due to yin def?

Back 53

rel ext: gb20, sj5, lu7, li4
yin def: sp6, lu10, lu9, lu6, lu5, du14, li11
unproductive cough: lu7, kid6

Front 54

what is the etiology of external cough caused by a w/c?

Back 54

wind cold obstructing the lung
w/ c pathogen

Front 55

what is the key pathogen in a cough?

Back 55

lu qi rebellion

Front 56

what types of internal organ dysfunctions cause cough?

Back 56

lu - lu qi rebellion goes deeper or is chronic
kid - mother & son relationship, kid also grasps the qi
liv - emotional stimulation, liv qi stag generates fire, wood & fire insult metal

Front 57

what is the treatment for cough?

Back 57

descend lu qi
transform damp & phlegm

Front 58

what is treatment for excess type cough?

Back 58

reduce pathogen
use acrid, bitter herbs

Front 59

what is trmt for internal & deficient cough?

Back 59

sweet & astringent herbs to tonify & preserve lu, sp, kid
do not use acrid herbs

Front 60

what is western dx?

Back 60

bronchitis or upper respiratory infection

Front 61

what is pathology of acute bronchitis?

Back 61

acute inflammation of hte bronchii caused by virus or bacteria
usually preceeded by common cold or URI

Front 62

what is pathology of chronic bronchitis?

Back 62

chronic inflammation b/c of long term exposure to stimulants (pollution, smoking, grass, pollen)

Front 63

what do you do with a cough with no improvement?

Back 63

send to doctor for xray, ct scan or MRI, could be cancer if there is a mass

Front 64

what are sx of exterior cough due to w/c?

Back 64

sudden onset, cough w/ exterior syndrome, more chills than fever, headache, body aches, no thirst, cough w/ clear, white, copious sputum

Front 65

what is T & P for exterior cough due to w/c?

Back 65

T: pale, thin, white coating
P: superficial & tense or tight

Front 66

what are the treatment principles of ext cough due to w/c?

Back 66

descend lu qi
rel exterior by acrid & warm

Front 67

what formula do you use for ext cough due to w/c?

Back 67

xing su san
zhi sou san

Front 68

why would you use zhi sou san?

Back 68

exterior cough due to w/c for long term and little exterior syndromes

Front 69

what points for exterior cough due to w/c?

Back 69

stop cough: ub13, lu5, lu6
exterior: gb20, sj5, du16, li4, lu7
w/c: moxa on ub13, gb20

Front 70

what are sx of exterior cough due to w/h?

Back 70

sudden onset of cough w/ yellow, sticky, thick sputum, difficult to expectorate

Front 71

what are exterior w/h sx?

Back 71

more fever than chills, headache, body ache, thirst, sore throat, chest pain

Front 72

what are T & P for exterior cough due to w/h:

Back 72

T: red, thin, yellow coat
P: superficial & rapid

Front 73

what is trmt for ext cough due to w/h?

Back 73

descend lu qi
use acrid, cool to release the exterior

Front 74

hat formula is used for ext cough due to w/h?

Back 74

san ju yin

Front 75

what points are used for ext cough due to w/h?

Back 75

cough: ub13, lu5, lu6
rel ext w/h: gb20, du16, lu7, li4, sj5, li11, du14, lu10

Front 76

what are sx of cough due to lu dryness?

Back 76

sudden onset, nonproductive cough, dryness, sticky phlegm w/ bubbles, chills & fever, more fever than chills b/c yang, headache, body ache, thirst, dry throat, dry skin

Front 77

what is T & P for cough due to dryness?

Back 77

t: thin, yellow, dry coat, body slightly red
p: superficial, rapid, thin (indicated damage to body fluids)

Front 78

what is treatment for cough due to lu dryness?

Back 78

descend lu qi
moisten lu
use acrid, cool to release exterior

Front 79

what formula is used for cough due to lu dryness?

Back 79

san xing tang
qing zao jiu fei tang (severe dehydration for a long time)
bei mu gua luo san (more severe & causes yin def)

Front 80

what points for cough due to lu dryness?

Back 80

cough: ub13, lu5, lu6
dryness: lu7, kid6, sp6
rel ext: gb20, sj5, li4, lu10, li4
yin def: kid3, kid2

Front 81

what is etiology & pathology of damp phlegm obstructing the lu?

Back 81

spleen dysfunction
phlegm / damp obstructing the LU

Front 82

what is western dx of damp phlegm obstructing the lu?

Back 82

bronchitis, asthma, pneumonia, TB, bronchiectasis

Front 83

what are the sx of damp phlegm obstructing the lu?

Back 83

sudden onset or gradual onset, copious, sticky, white phlegm, damp phlegm, easy to expectorate, heavy sensation in body or limbs, cloudy head, dizziness & vertigo, poor appetite, loose stools

Front 84

what is T & P of damp phlegm cough?

Back 84

T: pale, swollen, teethmarks, greasy, white thick (b/c interior, excess)
P: slippery & wiry b/c phlegm is blocking the qi

Front 85

what is trmt of cough due to phlegm damp obstructing the lu?

Back 85

descend lu qi
transform phlegm
strengthen spleen

Front 86

what is formula for cough due to phlegm damp obstructing the qi?

Back 86

er chen tang
liu jun zi tang (if more sp qi def sx)
wen dan tang - damp phlegm that styas with you for a long time and turns into phlegm heat
qian wei jing tang - bacterial infection, pus, foul smelling

Front 87

what points are used for cough due to phlegm damp obstructing the lu?

Back 87

lu: ub13, lu5, lu6
damp: sp9, sp6
phlegm: st40
tonify sp: sp3, ub20, liv13
blocked qi: 4 gates, ren17

Front 88

what are the sx of cough due to liver fire insulting the lungs?

Back 88

hacking cough, sudden onset, fluctuates with emotions, associated with phlegm, yellow, sticky, thick, difficult to expectorate phlegm, fire so cough with big quantity of blood - severe hemoptysis
red face, easy to get angry, hypochondriac pain, burning pain, bitter taste in the mouth, insomnia, scanty, dark, urine, constipation

Front 89

what is T & P of liver fire insulting the lungs?

Back 89

T: purple, red, the more purple or red on the sides, coat: thick, yellow & dry
P: wiry, rapid & forceful

Front 90

what is trmt of liver fire insulting the lungs?

Back 90

descend lu qi
soothe liver
drain fire

Front 91

what is formula for liver fire insulting the lungs?

Back 91

dai ge san + qin jin hua tan wan
liver fire - add to long dan xie gan tang

Front 92

what points to treat liver fire insulting lungs/

Back 92

cough: ub13, lu5, lu6
liv: liv2, liv3, ub18, liv14, ub19, gb43, gb24
lu10 for lu heat
gb34 to guide down
heat: li4, li11, du14

Front 93

what are sx of cough due to lu qi def?

Back 93

longer duration, qi & yin def - fatigue, SOB, emaciation, daytime & nighttime sweating, insomnia

Front 94

what is T & P of cough due to lu qi def?

Back 94

T: pale & rd, thin & dry coating
P: thready, weak, sl rapid

Front 95

what is trmt of cough due to lu qi def?

Back 95

descend lu qi

Front 96

what formula is used for cough due to lu qi def?

Back 96

sha she mai men dong
sheng mai san - for qi & yin def

Front 97

what points are used for cough due to lu qi def?

Back 97

lu: ub13, lu5, lu6
yin def: lu10
qi def: st36, ren17, ren6
sp is source of qi & blood: liv13, sp3, sp6, ub20

Front 98

what are sx of cough due to kid failing to grasp qi?

Back 98

gradual onset, chronic course of cough, weakness at lumbar region & knee joint, ashy complexion, like emphysema with cough incontinence of urine

Front 99

what are T & P of cough due to kid failing to grasp qi?

Back 99

T: pale, thin, white coating
P: weak, slow

Front 100

what is trmt for cough due ot kid not grasping qi?

Back 100

descend lu qi
tonify kid to grasp qi

Front 101

what is formula for kid failing to grasp qi?

Back 101

shen ge san & jin gui qi wan