Intro To Herbs: Final

Front 1

Tablet

Back 1

Pian (modern day method b/c it uses modern manufacturing to make)

Front 2

Pills

Back 2

Wan (used esp for ancient formulas)

Front 3

Decoction

Back 3

Tang (or Yin)

Front 4

Powder

Back 4

San (not granules but concentrated powder; 1g of granules = 5g raw herbs)

Front 5

Granules (NOT ON TEST)

Back 5

Nong Suo [double check]

Front 6

Chinese Herbs (NOT ON TEST)

Back 6

Zhong Yao

Front 7

Which formula to relieve wind cold invasion?

Back 7

Jing Fang Bai Du San
(catch cold, bi syndrome, skin problems)
* headache, nasal congestion, body ache

Front 8

Which formulas to reduce Wind Heat (2)?

Back 8

Sang Ju Yin
Yin Qiao San

Front 9

Which W/H formula is good for cough and painful eyes and watery eyes?

Back 9

Sang Ju Yin (contraindicated for W/C)

Front 10

Which W/H formula is good for a sore throat?

Back 10

Yin Qiao San (contra for W/C)

Front 11

Formula to Tonify Qi (2)?

Back 11

1) Yu Ping Feng San (Jade Screen Powder)
2) Si Jun Zi Tang (4 Gentlemen Decoction)

For Pregnancy: May remove Fu Ling (b/c it drain dampness) and substitute Dang Shen for Ren Shen (Dang Shen is milder and Ren Shen may raise fetus heart beat but it is okay; in old times Ren Shen was stronger).

CONTRA: Full or empty heat (it's warm nature); constipation and bloating (add move qi herbs but don't use if it is excess bloating). If SP is too weak, they can't digest it and their bloating might be worst. Herb like Hawthorn may help.

Front 12

Which Tonify Qi formula is good to strengthen middle warmer (SP & ST) and is good for SP Qi Def?

Back 12

Si Jun Zi Tang (4 Gentlemen Decoction)

FYI: They are called gentleman b/c they 4 herbs are gentle in nature.

Front 13

Pt comes to see you with sore throat due to W/H invasion?

Back 13

Yin Qiao San (including red throat or itchy throat)

Front 14

Pt comes to see you with Wei Qi Xu, perhaps with allergies?

Back 14

Yu Ping Feng San (if they already have really bad allergies, then it's like closing the door b/c you are tonifying so you can't let the pathogens out)

If already bad allergies, determine W/H or W/C invasion.

If they have YEAR ROUND ALLERGIES - you can use Yu Ping Feng San and add *Cang Er Zi and *Xin Yi Hua.

Also NOT LONG TERM use - when nasal congestion gets better switch to JUST JADE SCREEN b/c the Xanthium has side effects [bad vertigo, nausea, vomiting if OD]

NOTE: Bian Yen? Pian also has Cang Er Zi in it. Sometimes pt might take both.

Front 15

Formula for strep throat?

Back 15

Trick question -> Refer to MD for antibiotics

Front 16

Blood Def Sx?

Back 16

1) Pale: tongue, nails, complexion, eyelids
2) Palpitations
3) Dizziness
4) Floaters, blurred vision
5) Poor concentration, memory
6) Insomnia, dream disturbed sleep
7) Dry, brittle nails
8) Losing hair

T: Pale
P: Thin

Front 17

Wei Qi Xu Sx?

Back 17

1) Easily catches a cold
2) Spontaneous sweating (awake)
3) Aversion to wind

P: Weak
T: Normal

Front 18

SP Qi Xu Sx?

Back 18

1) Pale complexion
2) weak limbs
3) low energy
4) weak and low voice
5) poor appetite
6) loose stool

Front 19

Pt has general Qi Xu?

Back 19

Si Jun Zi Tang

Front 20

Formula that Nourishes Blood (1)?

Back 20

Si Wu Tang (4 substance decoctions)

Traditionally, all herbs had equal dosages. In clinic, you may vary the dosage based upon your focus.

AFTER CHEMO: Huang Qi and Shu Di Huang

Front 21

Irritable, quick temper, PMS...the body is trying to gathering blood but there is not so much then it doesn't nourish the LIV, breast tenderness....which vitamin may help?

NOT ON TEST

Back 21

B12 and maybe more Bai Shao in Si Wu Tang

Front 22

Which herb has estrogen and is good to regulate uterus functions?

NOT ON TEST

Back 22

Dang Gui

If pt has diarrhea or loose stools, remove Dang Gui (b/c it has the moisten the intestines functions).

Front 23

What herb in Si Wu Tang is comparatively difficult to digest?

NOT ON TEST

Back 23

Shu di Huang (but not always)

Front 24

Which formulas are good for Qi and Blood Def (2)?

These two Dx often go together

Back 24

1) Gui Pi Tang
2) Ba Zhen Tang (memorize Zhen, means *real* 8 treasures)

CAREFUL: Ba Zheng Tang is drain dampness herbs and is used for UTI. Memorize "g" to drain, like the tail of a g goes down like a drain.

Front 25

How many herbs does Ba Zheng Tang contain?

NOT ON TEST

Back 25

10, the Sheng Jiang (ginger) and Da Zao (dates) are harmonizing.

NOTE: It contains 4 Gentleman's Inside

Front 26

T/F Ba Zhen Tang is for general Qi and Blood Def and not organ specific.

Back 26

TRUE

Front 27

What are the modern applications for Ba Zhen Tang?

NOT ON TEST

Back 27

anemia, irregular menstruation, chronic Dz, post-surgical recovery, neurasthenia

Front 28

What are Formulas that Tonify Qi and Blood (2)?

Back 28

1) Ba Zhen Tang
2) Gui Pi Tang

Front 29

T/F Both Ba Zhen Tang and Gui Pi Tang contain Si Jun Zi Tang?

Back 29

True

Front 30

Which formula would you use for SP Qi Def with HT Blood and HT Yin Def?

NOTE: Clinically not often used for HT Yin Def.

Back 30

Gui Pi Tang

This formula is related to HT

Front 31

What are SP Qi & HT Sx that are indicated for Gui Pi Tang?

Back 31

Palpitations, insomnia, anxiety, phobias, poor sleep or dream disturbed sleep, fatigue, poor memory, poor appetite, sallow complexion, low-grade fever, night sweating, withdrawal

Front 32

What are SP Qi Def Sx that are indicated for Gui Pi Tang?

Back 32

Early periods with loss of excess pale blood, continuous spotting, blood in the stool, leukorrhea, metrosaxis and metrorrhagia.

Front 33

T/F Fibroids, PCOS, easily bruised, you can used Gui Pi Tang.

NOT ON TEST

Back 33

TRUE

Front 34

What is the caution for Gui Pi Tang?

Back 34

Do not use in case of interior full or Yin Def heat with rapid and thin pulse.

Front 35

Name some western uses for Gui Pi Tang?

NOT ON TEST

Back 35

Neurasthenia; pyscho-emo Ds, post concussion sx, myasthenia gravis; congestive HT Dz, supraventricular tachycardia; anemia; thrombocytopenic or allergic purpura; cervictis; dysfunctional uterine bleeding

Front 36

Excessive thirsty, dry eyes, dry skin what is Diff Dx?

Back 36

Yin FLUID Def

Sheng Di Huang and Mai Dong would help this

Front 37

Memory problems, fertility is what Diff Dx?

Back 37

KI Essence/ KI Yin Def

Front 38

Which Formulas Nourish the Yin (1)?

Back 38

Liu Wei Di Huang Wan (6 ingredients rehmania pill)

NOTE: It Tx LV and KI Yin Def, since they often go together

Front 39

Pt has dizziness, vertigo, tinnitus, night sweats, noctural emissions, 5 palm heat, thirsty, chronic toothache or loose teeth, chronic sore throat (LU7 + KI6), scanty or diff painful urination and a tidal fever.

T: red with scanty coating
P: thin, somewhat rapid

Which formula?

Back 39

Liu Wei Di Huang Wan

Front 40

What are the **contraindications** for Liu Wei Di Huang Wan?

Back 40

SP Qi Def diarrhea; phlegm-damp retention with greasy white tongue coating

Front 41

Formula that warms and tonifies KI yang, dispels cold; drains water-damp and promotes urination?

Back 41

Jin Gui Shen Qi Wan

Front 42

Formula indicated with KI Yang Def with empty cold; KI yang Def with water-damp accumulation?

Back 42

Jin Gui Shen Qi Wan

Front 43

What formula if you add Gou Qi Zi and/or Dang Gui is good to build up KI essence and to help pt get pregnant?

NOT ON THE TEST

Back 43

Liu Wei Di Huang Wan

Front 44

Which formula is good to Tonify KI Yang?

Back 44

Jin Gui Shen Qi Wan

Front 45

Which formula is good to warm and tonify KI Yang, dispel cold; drains water-damp and promotes urination?

Back 45

Jin Gui Shen Qi Wan

Front 46

Which herb is often hard to digest?

Back 46

Shu Di Huang

Front 47

Which formula is indicated in KI Yang Def with empty cold; KI Yang Def with water-damp accumulation?

Back 47

Jin Gui Shen Qi Wan

Front 48

Pt, FM, scanty, delayed menstruation; Qi and Blood Def.

Back 48

Bai Jin Tang (sp)

Front 49

Numbness on the fingers and Dx is due to blood def

Back 49

Si Wu Tang

Front 50

T/F Liu Wei Di Huang Wan can be used for children.

Back 50

TRUE - Can use for children. Remember this guy originally created it for children who were mentally retarded.

Infertility to do KI Essence Def (men or women) or for menopause.

DO NOT USE FOR EARLY STAGE catch cold.

Front 51

T/F You can use Si Jun Zi Tang if there are early stages of pathogenic infection.

Back 51

FALSE - you don't want to tonify the pathogens

Front 52

What are the contraindications for Si Jun Zi Tang?

Back 52

Empty or heat or excess heat

Front 53

An indication for using KI Yang tonification are what?

Back 53

cold hands, cold feet, or low sexual drive or infertility; also Yang sometimes cannot transform the dampness so may have water retention

Front 54

T/F Liu Wei Di Huang Wan and Jin Gui Shen Qi Wan.

NOT ON THE TEST

Back 54

Yes, most of the herbs are focused on tonify the KI Essence or KI Yin. Only a small dosage of herbs are used to warm up the body. These are two herbs, like Gui Zhi (or clinically rou gui=cinnamon bark) and Fu Zi. They are in the category of warm interior herbs.

Front 55

What are the contraindications for Jin Gui Shen Qi Wan?

Back 55

Yin Def with empty heat or dryness; fluid impairment due to dry-heat and a caution during phlegm-damp conditions presenting a greasy-white coating.

Front 56

T/F Hypothyroidism may be an indication for using Jin Gui Shen Qi Wan.

NOT ON THE TEST

Back 56

TRUE - This can be very helpful for those patients who present feeling very cold and/or with KI Yang Def type of edema.

NOTE: It has sun-dried rehmanniae in it (Gan Di Huang).

NOTE: This was the original formula and the Liu Wei Di Huang Wan was modified from this one to remove the warming herbs to be more suitable for children who are more Yang in nature.

IT PROMOTES CIRCULATION

Front 57

M pt comes to see you for infertility; low sperm count and motility and the pt also mentions lower back weakness and knee weakness. Diff Dx is KI Yang Def, which formula?

Back 57

Jin Gui Shen Qi Wan

NOTE: Remember to ask the pt about their temperature tendencies.

Front 58

What is a good formula for sperm and motility count improvement?

NOT ON THE TEST

Back 58

Wu Zi Yang Zang Wan
with Liu Wei Di Huang Wan (Tonify Yin) or Jin Gui Shen Qi Wan (Tonify Yang)

Front 59

Pt with pale tongue and tends to feel cold. Pt has ammennorhea and no menstrual cycle. Your Diff Dx is KI Yang Def.

Back 59

Jin Gui Shen Qi Wan

Front 60

If wood is too strong it over controls the earth and what happens?

Back 60

LV Qi Stagnation with SP Def

Front 61

Sometimes in the clinic, a wiry (LV Qi Stagnation) and weak (SP Def) pulse, if there is SP Def, there could also be what?

Back 61

Blood Def

Front 62

Liver stores the blood and when there is blood Def, what can happen?

Back 62

Blood does not nourish the LV

Front 63

Which Vitamin can help improve mood?

NOT ON THE TEST

Back 63

B12, it also nourishes the blood

Front 64

What are the Sx of LIV Qi Stagnation?

Back 64

Depression (manifesting as low motivation or as a quick temper or irritability), moodiness, hypochondriac pain or fillness, bitter taste in mouth, irregular menstruation, dysmennorrhea, PMS, dry mouth and throat (when there is stagnant heat)

Front 65

What are the Sx of Blood Def?

Back 65

Headache, dizziness, floaters, blurred vision...

NOTE: If pt doesn't get good sleep, many times it is likely due to lack of sleep (esp might feel sleepy in the afternoon). A nap, SURPRISE, may help.

Front 66

What are the Sx of SP Def?

Back 66

Fatigue, poor appetite, chronic diarrhea, gas and bloating

Front 67

What are the P and T indications for Xiao Yao San?

Back 67

P: Wiry, or thin & wiry or wiry & weak
T: Pale &/or teethmarks, or normal

Front 68

What is the chief herb in Xiao Yao San?

NOT ON TEST

Back 68

Chai Hu: spreads LIV Qi, soothe the liver, anti-depression

***ALSO***
Bo He (soothes the LIV)
Dang Gui (nourish BL, Nourish LIV, regulate menses)
Bai Shao (nourish BL, Nourish LIV, nourish and soothe LV)
Bai Zhu

Front 69

T/F The herbs in Xiao Yao San are very gentle and can be used for a long time without worry.

Back 69

TRUE
- No move Qi herbs
- No move blood herbs
- More nourish blood herbs
- Tonify SP herbs
- Most herbs are in expel exterior Sx

Front 70

What would be better if pt has LV Qi Stagnation with blood stasis (red spots) or experience heat?

NOT ON TEST

Back 70

Jiao Wei Xiao Yao San (+Mu Dan Pi=cool blood, Zhi Zi=clear heat), if it's pretty bad use XXX

Front 71

If you add Dang Shen to Xiao Yao San, what is it?

NOT ON TEST

Back 71

4 Gentleman's Decoction

Front 72

What's the most common formula to regulate menses and PMS? As long as Diff Dx is LV Qi Stagnation and Blood Def.

Back 72

Xiao Yao San

Front 73

Is it common to experience night sweats and hot flashes; peri-menopausal Sx due to stress?

NOT ON TEST BUT IMPORTANT

Back 73

YES! About half of Dr. Zeng's pt are experiencing these Sx due to LV Qi Stagnation.

Front 74

There are diff formulas to invigorate blood and dispel blood stagnation, which one is more for body aches?

Back 74

Shen Tong Zhu Yu Tang
[body pain remove blood stasis decoction]
- upr back pain, neck pain
- not so much for headaches

Front 75

What are the actions for Shen Tong Zhu Yu Tang

Back 75

Move Blood & Dispel Blood Stasis
- Move Xue & Qi
- Unblocks and channel and alleviate pain
- Local qi/blood stagnation

Front 76

For lower back pain due to blood stasis (sharp stabbing pain), which formula?

Back 76

Shen Tong Zhu Yu Tang

Front 77

What does the T look like when prescribing Shen Tong Zhu Yu Tang?

NOT ON TEST

Back 77

purple or with purple spots or distended veins

Front 78

How long should you take Shen Tong Zhu Yu Tang?

Back 78

Only for 1-2 months then stop or reduce the dosage

Front 79

What are the contraindications for Shen Tong Yu Tang?

Back 79

NO BLOOD THINNERS (Warfarin, Coumadin), could cause internal bleeding.

Front 80

Can phantom limb pain be treated by acupuncture?

NOT ON TEST

Back 80

Scalp acupuncture; left side treats right and may also help calm down the pt.

Front 81

What are the actions and indications for Du Hou Ji Sheng Tang?

Back 81

1) Bi Sx, due to LV, KD Def
2) KI Def + Qi & Blood Def
3) Damp Cold retention
4) Low back problems

Front 82

Which is a formula for arthritis and can also help with sciatica?

Back 82

Du Huo Ji Sheng Tang; b/c Du Hou is lower, it's more geared toward lower back or leg pain.

NOTE: Pt will often have change in Sx due to change in weather.

Front 83

What are the functions for Suan Zao Ren Tang?

Back 83

Nourish blood, calms "shen", clear heat, relieve irritability

Front 84

What are the indications for Suan Zao Ren Tang?

Back 84

Def of the LIV blood and Yin failing to nourish the HT manifested as insomnia, palpitation, irritability, dizziness, blurred vision, night sweats, dry mouth and throat

Dosage: Daytime 2-3x/day; for anxiety

For insomnia, just before bed and maybe a stronger dosage 4-6 pills for plum flower brand.

This pt is to help them easily fall asleep.

If pt wakes up at night, sometimes it works, sometimes not.

Front 85

What are the functions for Er Chen Tang?

Back 85

1) Dry damp
2) Eliminate phlegm
3) regulate Qi
4) harmonize mid jiao

Front 86

What are the indications for Er Chen Tang?

Back 86

Phlegm-dampness obstructing Qi in the upper and middle jiao

Front 87

What's the #1 best formula for phlegm retention?

Back 87

Er Chen Tang
has Chen Pi, 15g and Ban Xia 15g [notice that these are warm nature so it's better for phlegm damp or phlegm cold; if heat, use cooling herbs like Huang Qin]

Front 88

Pt has nausea, vomitting or reflux or phlegm mists the mind?

Back 88

Er Chen Tang (may have other good formulas for nausea)

Front 89

If pt has coronary HT Dz manifesting as chest pain, tightness?

Back 89

Er Chen Tang

Front 90

Breast nodules, suspected due to phlegm?

NOT ON TEST

Back 90

Er Chen Tang

Front 91

Liu Jun Zi Tang adds which 2 herbs from the Si Jun Zi Tang (4 Gentleman's)?

NOT ON TEST

Back 91

+ Er Chen Tang
or...
+ Chen Pi, Ban Xia

NOTE: Er Chen Tang (dispel damp-phlegm) also has Chen Pi and Ban Xia

Front 92

Which formula clears damp heat in the lower jiao?

Back 92

Si Miao San

Also can help with swollen lymph nodes in the genitals

Front 93

Which formula to treat soreness and weakness of lwr back, painful, red, hot, swoellne knees and fee, weakness, numbness or atrophy of lower limps, yellow or odorous vaginal discharge, eczema, dark, scanty yellow urine?

Back 93

Si Miao San

T: red and yellow greasy tongue coating
P: slippery rapid pulse

Front 94

MS with a red and yellow greasy tongue coating?

Back 94

Si Miao San

Front 95

Pt has knee pain with injury?

Back 95

Shen Tong Zhu Yu Tang

Front 96

Pt has knee weakness, due to KI Def?

Back 96

Du Huo Ji Sheng Tang

CHECK THIS ANSWER

Front 97

Pt has knee pain, swollen and red and has damp heat in the lower jiao?

Back 97

Si Miao San