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74 Cards in this Set

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Patient presents with fatigue, a history of anemia and poor appetite, and irregular periods. She also reports having floaters, postural dizziness, as well as weakness in the extremities. You observe that her hair, skin and nails are dry and brittle. Her pulse is thready and her face, lips and tongue are pale. What formula would you recommend?
a. Ba Zhen Wan
b. Si Wu Wan
c. Wu Ji Bai Feng Wan
d. Gui Pi Wan
a. Ba Zhen Wan

Note: This is a general qi and blood tonic formula consisting of the two formulas: Si Wu Tang and Si Jun Zi Tang
Patient presents with a history of palpitations, forgetfulness and dysmenorrhea. You observe that she has a pale face, lips and tongue. Her pulse is thready and her nails, skin and hair are dry. She does occasionally complain of pain in the calves, as well as postural dizziness and blurred vision.
a. Ba Zhen Wan
b. Si Wu Wan
c. Wu Ji Bai Feng Wan
d. Gui Pi Wan
b. Si Wu Wan

Note: This is a general Blood tonifying formula
Patient presents today with menstrual disorders, including premenstrual lower back pain, intolerance for cold, low libido, and fatigue. She also has a history of blurred vision, postural dizziness and muscle tension. You notice her pale complexion and tongue as well as a weak, thready pulse.
a. Ba Zhen Wan
b. Si Wu Wan
c. Wu Ji Bai Feng Wan
d. Gui Pi Wan
c. Wu Ji Bai Feng Wan

Note: This patient is presenting with blood deficiency and KI/LV deficiency... note the lower back pain, low libido, blurred vision, and pale complexion and tongue
Patient comes into the office today complaining of insomnia, anxiety and panic attacks, forgetfulness, poor appetite, fatigue, and visual disturbances, tendency to bruise easily as well as persistent spotting. Her nails, skin and hair are dry and brittle. Her tongue is pale with tooth marks and a very thin coating. Her pulse is thready.
a. Ba Zhen Wan
b. Si Wu Wan
c. Wu Ji Bai Feng Wan
d. Gui Pi Wan
d. Gui Pi Wan

Note: this patient presents with SP qi deficiency (poor appetite, bruising), and HT blood deficiency (mental lapses, anxiety)
Patient comes in today with complaints of post partum abdominal pain and dizziness, anemia and insufficient lactation. Has a history of dysmenorrhea and scanty menstruation.
a. Shi Xiao Wan
b. Dang Gui Su
c. Wen Jing Tang Wan
d. Tong Jing Wan
b. Dang Gui Su

Note: Dang Gui Pills tonify blood and help regulate menstruation
Patient presents today with severe menstrual cramps.
a. Shi Xiao Wan
b. Dang Gui Su
c. Wen Jing Tang Wan
d. Tong Jing Wan
a. Shi Xiao Wan

This formula invigorates blood, disperses blood stasis, and stops pain
Patient presents today with a history of irregular menstruation, infertility, dysmenorrhea, low grade fever at dusk. She states that her lower abdomen feels cold, painful and distended but is better when she uses a heating pad on the area. Upon questioning she states that her lower back hurts worse when she is tired or right after her period. She states she spots throughout the month and when she has her period it more than 7 days and the blood is dark and clotted. You notice her palms are warm, her tongue is pale and.
a. Shi Xiao Wan
b. Dang Gui Su
c. Wen Jing Tang Wan
d. Tong Jing Wan
c. Wen Jing Tang Wan

Note: This formula treats deficient cold in the uterus (heat above, cold below)
Patient presents today with the following, lower abdominal pain and distension, that’s worse when pressed on. Palpable masses as well with dark and clotted menstrual blood. She is 30 years of age. Her tongue is purple and her sublingual veins are dark and distended. Her pulse is choppy today but is sometimes wiry.
a. Shi Xiao Wan
b. Dang Gui Su
c. Wen Jing Tang Wan
d. Tong Jing Wan
d. Tong Jing Wan

Note: This formula treats relatively severe blood stagnation causing dysmenorrhea/amenorrhea
Patient comes in today with complaints of irregular menstrual cycle, mild dysmenorrhea, infertility, as well as abdominal masses. She has a history of endometriosis and fibroids.
Her tongue is pale purple and her pulse is thready, choppy and wiry.
a. Gui Zhi Fu Ling Wan
b. Shao Fu Zhu Yu Wan
c. Tao Hong Si Wu Wan
d. Yang Rong Wan
c. Tao Hong Si Wu Wan

Note: This formula treats mild blood stagnation (choppy pulse, pale purple tongue) due to blood deficiency (thready pulse, pale tongue)
Patient comes in with mild endometriosis and fibroids, she has a history of infertility and amenorrhea. When she does have her period its dark purple. She has a history of spotting of dark purple blood that is persistent. Her tongue is purplish, with brown or purple patches and swollen sublingual veins and her pulse is choppy.
a. Gui Zhi Fu Ling Wan
b. Shao Fu Zhu Yu Wan
c. Tao Hong Si Wu Wan
d. Yang Rong Wan
a. Gui Zhi Fu Ling Wan

Note: This treats small masses due to blood stagnation... I remember because of the dark purple bleeding, dark purple everything... it sounds gooey (gui)
Patient comes in today with complaints of lower abdominal pain, dysmenorrhea, Fixed abdominal masses that are not always painful and improves with the application of heat. Abdomen feels cool to the touch, complexion is dark, ashen, sallow with dark purple lips and dark rings around the eye. The pulse is thready/wiry with a history of it being choppy.
a. Gui Zhi Fu Ling Wan
b. Shao Fu Zhu Yu Wan
c. Tao Hong Si Wu Wan
d. Yang Rong Wan
b. Shao Fu Zhu Yu Wan

Note: This treats blood stasis due to cold stagnation (improves with warmth, feels cool to the touch), focal pain (fixed painful masses)
Patient presents today with a chief complaint of infertility. She has a history of irregular menstruation fatigue, weakness, uterine bleeding & scanty period w small clots and an intolerance for cold, she has dull abdominal pain which is better with warmth, and persistent watery leukorrhea. Her extremities are cold. Her tongue is pale and pulse is thready.
a. Gui Zhi Fu Ling Wan
b. Shao Fu Zhu Yu Wan
c. Tao Hong Si Wu Wan
d. Yang Rong Wan
d. Yang Rong Wan

Note: This formula treats qi and blood deficiency with cold in the uterus, SP and KI... that's just wrong (Rong)
Patient comes into the office today complaining of cold intolerance, infertility, chronic uterine bleeding, menorrhagia. Her extremities are cold, she has a history of premenstrual back ache which is better with warmth. Her tongue is pale, and her pulse is weak especially the KI position.
a. Er Xian Wan
b. Zhi Bai Ba Wei Wan
c. Fu Ke Zhong Zi Wan
d. Nei Xiao Luo Li Wan
c. Fu Ke Zhong Zi Wan

Note: This formula treats KI qi (note weak KI pulse) and yang deficiency (note cold signs, cold intolerance) with cold in the uterus, causing infertility
Patient comes in she is a 54 year old woman presenting with hot flashes, night sweats, heat intolerance, low grade fever in the afternoon, her hands and feet are hot, she is always thirsty and her mouth is always dry, she has lower back ache and weakness, dizziness, tinnitus, painful urination and constipation. Her tongue is red with no coating and her pulse is thready and rapid.
a. Er Xian Wan
b. Zhi Bai Ba Wei Wan
c. Fu Ke Zhong Zi Wan
d. Nei Xiao Luo Li Wan
b. Zhi Bai Ba Wei Wan

Note: More commonly known as Zhi Bai Di Huang Wan.... For KI yin deficiency with heat/fire (note the heat intolerance, low grade fever, thirst, constipation, and tongue)
Patient presents today with night sweats, hypertension, insomnia, fatigue, irritability, depression and anxiety. She states she does sometimes have headaches, muscle spasms and lower back and leg weakness. Her urination is frequent. She has a malar flush, pink tongue with little coating and her pulse is wiry/ thready. She states she is 53 years of age.
a. Er Xian Wan
b. Zhi Bai Ba Wei Wan
c. Fu Ke Zhong Zi Wan
d. Nei Xiao Luo Li Wan
a. Er Xian Wan

Note: This formula treats KI yin, yang, and essence (note headaches, muscle spasms) deficiency, more yin deficient.
Patient presents today with painless although sometimes tender nodules in the neck.
a. Er Xian Wan
b. Zhi Bai Ba Wei Wan
c. Fu Ke Zhong Zi Wan
d. Nei Xiao Luo Li Wan
d. Nei Xiao Luo Li Wan

Note: Treats phlegm, hard phlegm (nodules), and mild blood stagnation... Nei... close enough to neck for me to remember
Patient presents today with a copious thick white/yellow vaginal discharge with associated lower back ache and vaginal pruritus. Her urination is cloudy and painful. Her tongue is greasy with white/yellow coating and pulse is slippery or soggy, and rapid.
a. Zhi Bai Ba Wei Wan
b. Fu Ke Zhong Zi Wan
c. Bi Xie Sheng Shi Wan
d. Nei Xiao Luo Li Wan
c. Bi Xie Sheng Shi Wan

Note: This formula treats damp heat in the lower jiao... PID, UTI, yeast infections... Bi Xie (bad sh*t) where she (shi) doesn't want (wan) it...
Patient presents today with fever and chills, headache, nausea/vomiting, abdominal distension and cramping, lethargy, and a feeling of heaviness, muscle aches and acute diarrhea. Pulse is floating and slippery/soggy.
a. Liu Jun Zi Wan
b. Huo Hsiang Chen Chi Pien
c. Xiang Sha Liu Jun Wan
d. Si Jun Zi Wan
b. Huo Hsiang Chen Chi Pien

Note: Better known as Huo Xiang Zheng Qi Wan, is the basic ST flu remedy.... Huo Xiang (whoa, sh*t... i feel bad)
Patient presents with fatigue, weakness, pallor, loss of appetite, weak digestion, loose stools and abdominal distension. Pulse is weak and tongue is pale.
a. Liu Jun Zi Wan
b. Huo Hsiang Chen Chi Pien
c. Xiang Sha Liu Jun Wan
d. Si Jun Zi Wan
d. Si Jun Zi Wan

Note: This is the four gentlemen decoction... for SP and LU qi deficiency... appears as more of a generalized qi deficiency... with a lot of SP signs
Zak presents with pronounced abdominal distension, thick greasy tongue coating, nausea/vomiting and diarrhea. Patient also notes this is the same formula that was given to his wife for morning sickness.
a. Liu Jun Zi Wan
b. Huo Hsiang Chen Chi Pien
c. Xiang Sha Liu Jun Wan
d. Si Jun Zi Wan
a. Liu Jun Zi Wan

Note: this treats SP qi deficiency with phlegm dampness... basic formula for morning sickness
Gus presents today with pronounced abdominal & epigastric discomfort and distension, especially after eating, nausea/vomiting, sleepiness after eating, flatulence, belching, borborygmus, chronic diarrhea, early satiety. Also states he has chronic mucus congestion. His tongue is pale with thick white coating and his pulse is soft/slippery and moderate.
a. Liu Jun Zi Wan
b. Huo Hsiang Chen Chi Pien
c. Xiang Sha Liu Jun Wan
d. Si Jun Zi Wan
c. Xiang Sha Liu Jun Wan

Note: This formula treats SP Qi deficiency with phlegm dampness and food stagnation (note early satiety, and mucus)
Andy comes in today with poor appetite reduced sense of taste, early satiety, nausea, vomiting, belching, indigestion, acid reflux, flatulence, borborygmus, epigastric and abdominal distension & discomfort, especially after eating. Pulse is soft/soggy, moderate wiry. Tongue is greasy white and pale.
a. Shen Ling Bai Zhu Wan
b. Xiang Sha Yang Wei Wan
c. Bu Zhong Yi Qi Wan
d. Li Zhong Wan
b. Xiang Sha Yang Wei Wan

Note: this formula treats SP qi deficiency with phlegm dampness and qi stagnation (note reduced sense of taste, discomfort)
Abby presents today with complaints of frequent colds and infections, low grade fever, worse when fatigued or with exertion. She also has chronic diarrhea, prolapsed bladder, hemorrhoids, and uterus. You note she has lack of vitality, poor muscle tone, shortness of breath. Her pulse is weak deficient and her tongue is pale.
a. Shen Ling Bai Zhu Wan
b. Xiang Sha Yang Wei Wan
c. Bu Zhong Yi Qi Wan
d. Li Zhong Wan
c. Bu Zhong Yi Qi Wan

Note: this formula treats SP and LU qi deficiency, and qi sinking... note the fatigue, prolapse, and poor muscle tone
Don presents today with nausea, vomiting, loss of appetite, weight loss, fatigue, he has chronic diarrhea and weakness of the extremities. His pulse is weak and deficient and his tongue is pale swollen and white coating.
a. Shen Ling Bai Zhu Wan
b. Xiang Sha Yang Wei Wan
c. Bu Zhong Yi Qi Wan
d. Li Zhong Wan
a. Shen Ling Bai Zhu Wan

Note: this formula treats SP qi deficiency with dampness... also used for DM and weight control
Patient comes in with exhaustion, chronic digestive weakness, loss of appetite, abdominal or epigastric pain that feels better with a hot water bottle. He has chronic diarrhea w undigested food, rectal bleeding, abdominal distension, edema especially of the orbit, fingers and abdomen. He also complains of mouth ulcers, cold intolerance and cold extremities.
His tongue is pale, wet and swollen with a deep slow pulse.
a. Shen Ling Bai Zhu Wan
b. Xiang Sha Yang Wei Wan
c. Bu Zhong Yi Qi Wan
d. Li Zhong Wan
d. Li Zhong Wan

Note: this formula treats SP yang deficiency, with deficient cold signs, and orbital, finger, and abdominal edema
Shawn comes in with nausea, vomiting, loss of appetite, chronic mouth ulcers, edema especially of orbit, fingers and abdomen, that is relieved some w warmth and pressure, he has chronic diarrhea w undigested food, abdominal distension and cold extremities. He has a pale wet swollen tongue and deep, slow almost imperceptible pulse.
a. Xiao Jian Zhong Wan
b. Jian Pi Wan
c. Bu Zhong Yi Qi Wan
d. Fu Zi Li Zhong Wan
d. Fu Zi Li Zhong Wan

This is a variation of Li Zhong Wan with Fu Zi added to increase yang warming... note more empty cold signs in the scenario
Mandy presents to the office with low grade morning fever, drooling, loss of appetite, dull persistent spasmodic abdominal pain that’s better with warmth, pressure, and eating. She has cold intolerance and cold extremities as well as palpitations. Her tongue is pale and her pulse is deep and wiry.
a. Xiao Jian Zhong Wan
b. Jian Pi Wan
c. Bu Zhong Yi Qi Wan
d. Fu Zi Li Zhong Wan
a. Xiao Jian Zhong Wan

Note: This formula is a combination of Gui Zhi Tang and Yi Tang... for SP/ST qi and/or yang deficiency... used often in children
Bertha presents today with gradual loss of appetite, when she does eat she feels bloated, fatigue, acid reflux, upper abdominal distension and fullness, belching and flatulence and a history of loose stools. Her tongue is pale, swollen and a thick coating. Her pulse is slippery, soft, and weak.
a. Xiao Jian Zhong Wan
b. Jian Pi Wan
c. Bu Zhong Yi Qi Wan
d. Fu Zi Li Zhong Wan
b. Jian Pi Wan

Note: this formula treats SP qi deficiency with food stagnation... Jian Pi means "strengthen the spleen"
De De presents with indigestion, dyspepsia, horrible breath, belching, acid reflux, epigastric & upper abdominal distension, flatulence, heartburn, constipation and diarrhea. Tongue coating is thick and pulse is slippery and big.
a. Er Chen Wan
b. Bao He Wan
c. Ping Wei San
d. Bao Jian Mei
b. Bao He Wan

Note: This formula treats food stagnation with indigestion and dyspepsia...
Danny comes in with acute indigestion, gastric hyperacidity that you associate with food stagnation. He is overweight.
a. Er Chen Wan
b. Bao He Wan
c. Ping Wei San
d. Bao Jian Mei
d. Bao Jian Mei

This is a tea that treats food stagnation and indigestion
Patient presents with nausea, chronic mucus congestion, phlegm nodules, fullness in chest, chronic productive cough and dizziness. His pulse is slippery, wiry or soft and his tongue is swollen with a thick, greasy white coating.
a. Er Chen Wan
b. Bao He Wan
c. Ping Wei San
d. Bao Jian Mei
a. Er Chen Wan

Note: This formula treats phlegm-dampness with chronic congestion
Fred presents with heaviness in the body & limbs, increased desire to sleep, fatigue, decreased sense of taste, symptoms are worse in the morning. Also states he has belching, acid reflux, epigastric & abdominal distension, nausea, diarrhea, loss of appetite. Pulse is moderate or slippery and tongue is thick, white greasy.
a. Er Chen Wan
b. Bao He Wan
c. Ping Wei San
d. Bao Jian Mei
c. Ping Wei San

Note: This is cold-dampness accumulating in the SP/ST... not the heaviness, especially affecting the limbs... always the SP if limbs affected
Pam presents with hypochondria pain, epigastric & abdominal pain & distenstion, muscle tension & pain. She is easily angered and her has a nervous stomach. Her symptoms are worse when she is upset.
a. Xiang Lian Wan
b. Mu Xiang Shun Qi Wan
c. Shu Gan Wan
d. Tong Xie Yao Fang Wan
c. Shu Gan Wan

Note: This is LV qi stagnation invading the SP/ST... Shu Gan means "soothe liver"... soothe as in pain... note no diarrhea, or acid reflux... just pain
Mark complains of irritable bowel syndrome, abdominal pain & cramping, borborygmus, recurrent explosive diarrhea, irritability, anger, moodiness, depression. He notes that symptoms are worse when he is upset. Pulse is wiry, thready during these episodes.
a. Xiang Lian Wan
b. Mu Xiang Shun Qi Wan
c. Shu Gan Wan
d. Tong Xie Yao Fang Wan
d. Tong Xie Yao Fang Wan

Note: this is LV qi overacting on the SP (disharmony), causing painful diarrhea (xie yao - sh*t yow!)
Bob presents with heartburn, sour belching, acid reflux, dyspepsia, tenesmus and diarrhea with mucus, pus and blood.
a. Xiang Lian Wan
b. Mu Xiang Shun Qi Wan
c. Shu Gan Wan
d. Tong Xie Yao Fang Wan
a. Xiang Lian Wan

Note: this formula is for damp heat dysentery with stomach heat and rebellious stomach qi... Mu Xiang for the dysentery and Huang Lian for the middle jiao heat and rebellious qi
Iggy presents with indigestion, flatulence, belching, acid reflux, borborygmus, nausea, vomiting, abdominal distension & pain, sluggish bowels, and fullness in chest. You note a wiry or slippery pulse and a dark tongue with a thick coat on the root.
a. Mu Xiang Shun Qi Wan
b. Da Huang Jiang Zhi Wan
c. Run Chang Wan
d. Wu Ren Wan
a. Mu Xiang Shun Qi Wan

Note: this formula treats liver qi stagnation with food and damp stagnation... Shun Qi means Qi Promoting... note the sluggish bowels and abdominal distension... things aren't moving...
Grandma presents with dry lusterless skin, eyes and nails, constipation w dry pellet like stools and postural dizziness. Her mouth is dry and she is thirsty. Her pulse is thready.
a. Mu Xiang Shun Qi Wan
b. Da Huang Jiang Zhi Wan
c. Run Chang Wan
d. Wu Ren Wan
c. Run Chang Wan

Note: this is dryness in the intestines due to blood, yin, and fluid deficiency... Run Chang means lubricate the intestines... plus, it has Da Huang, which could give you the "runs"
Josey comes in with chronic dry constipation, she is 66 years old.
a. Mu Xiang Shun Qi Wan
b. Da Huang Jiang Zhi Wan
c. Run Chang Wan
d. Wu Ren Wan
d. Wu Ren Wan

Note: also for dryness in the intestines, only has 5 types of oily seeds in it - wu ren
Jack comes in and has hard, dry impacted stools.
a. Mu Xiang Shun Qi Wan
b. Da Huang Jiang Zhi Wan
c. Run Chang Wan
d. Wu Ren Wan
b. Da Huang Jiang Zhi Wan

Note: this is a strong, purgative formula... for more severe constipation... hence, Da Huang is in the name
Ted presents with a thirst, hunger, frequent urination, a red peeled tongue, swollen & cracked with little or no coating. He has a tendency towards skin infections.
a. Mu Xiang Shun Qi Wan
b. Yu Quan Wan
c. Huai Jiao Wan
d. Wu Ren Wan
b. Yu Quan Wan

Note: This formula is specific for Xiao Ke, or sequelae of Diabetes Mellitus... with increased thirst, hunger, and urination... KI/SP/ST qi and yin deficiency
Pat presents with complaints of blood on stool and toilet paper following defecation.
a. Mu Xiang Shun Qi Wan
b. Yu Quan Wan
c. Huai Jiao Wan
d. Wu Ren Wan
c. Huai Jiao Wan

Note: for bleeding hemorrhoids... (Huai Jiao...when I wipe, yow!)
Perry presents today with headache (frontal) swollen lymph nodes, acute itchy red skin lesions, acute sore throat, acute inflammation of the eyes and a cough with yellow sputum. Pulse is rapid and floating, and tongue is red tipped.
a. Gui Zhi Tang Wan
b. Ma Huang Tang Wan
c. Yin Chiao Jie Du Pian
d. Sang Ju Wan
c. Yin Chiao Jie Du Pian

Also known as Yin Chiao Chieh Tu Pien, this treats wind heat gan mao... most important formula for early stage wind heat (common cold, respiratory flu, URIs) invasion,
Harry presents today with dry cough, slight fever, thirst and has a white tongue coating and floating rapid pulse.
a. Gui Zhi Tang Wan
b. Ma Huang Tang Wan
c. Yin Chiao Jie Du Pian
d. Sang Ju Wan
d. Sang Ju Wan

Note: For milder wind heat gan mao
Ron presents today with lots of chills and slight fever, no sweating, acute wheezing, tightness in the chest, occipital headache, facial swelling, acute muscle and joint aches and scanty urination.
a. Gui Zhi Tang Wan
b. Ma Huang Tang Wan
c. Yin Chiao Jie Du Pian
d. Sang Ju Wan
b. Ma Huang Tang Wan

Note: for Wind-cold gan mao without sweating
Sam presents today with mild fever and chills, sweating and clamminess, aversion to wind and no thirst, his skin is itchy and worse with cold. Pulse is moderate floating or weak.
a. Gui Zhi Tang Wan
b. Ma Huang Tang Wan
c. Yin Chiao Jie Du Pian
d. Sang Ju Wan
a. Gui Zhi Tang Wan

Note: For Wind-cold gan mao with sweating
Sarah presents with wheezing, dyspnea, breathlessness, fullness in the chest, rattles and rales, productive cough, copious thin watery or white sputum. Her pulse is soft, slippery or floating and tongue is greasy white tongue coat.
a. Xiao Qing Long Wan
b. Jing Fang Bai Du Wan
c. Su Zi Jiang Qi Wan
d. Chuan Xiong Cha Tiao Wan
c. Su Zi Jiang Qi Wan

Note: For Wind-cold gan mao with accumulation of phlegm dampness or cold phlegm
Linda comes in complaining of chills and slight fever, no sweating, occipital headache, muscle aches, rattles and rales, nasal & sinus congestion w clear discharge, wheezing, productive cough, w copious thin white and clear watery sputum. Pulse is floating & tight or slippery.
a. Xiao Qing Long Wan
b. Jing Fang Bai Du Wan
c. Su Zi Jiang
d. Chuan Xiong Cha Tiao Wan
a. Xiao Qing Long Wan

Note: For Wind cold gan mao with congested thin fluids
James comes in today with chills, mild fever and no sweating, watery nasal discharge and congestion, muscle aches, headache, stiff painful neck. Pulse is floating tight.
a. Xiao Qing Long Wan
b. Jing Fang Bai Du Wan
c. Su Zi Jiang
d. Chuan Xiong Cha Tiao Wan
d. Chuan Xiong Cha Tiao Wan

Note: For acute wind-cold/wind-heat or wind damp gan mao with headache and neck stiffness
Mac comes in today with fever & chills but chills are worse, no sweating, occipital headaches, neck stiffness, generalized muscle and joint aches, nasal obstruction but sometimes runny nose with thin watery mucus, sore throat, fullness in chest, cough or wheezing w thin watery mucus. Pulse is floating tight or floating and tongue is thin white coating.
a. Xiao Qing Long Wan
b. Jing Fang Bai Du Wan
c. Su Zi Jiang
d. Chuan Xiong Cha Tiao Wan
b. Jing Fang Bai Du Wan

Note: for acute wind-cold-damp gan mao. Note the runny nose and generalized aches
Debbie presents today with chills that are greater than her fever, no sweating, nasal congestion, muscle aches, productive cough. Her tongue has white coating and her pulse is floating, weak or soft.
a. Qing Qi Hua Tan Wan
b. Ding Chuan Wan
c. Qi Guan Yan Ke Sou Tan Chuan Wan
d. Ren Shen Bai Du Wan
d. Ren Shen Bai Du Wan

Note: For wind-cold-damp in pts with a pre-existing qi deficiency; note weak or soft pulse
Donna presents today with cough that is worse at night and early in the morning, dry mouth, thirst or an unpleasant sticky sensation in the mouth, fever, wheezing, rattles and rales, fullness in the chest and chest pain, loud productive cough w thick yellow or green sputum. Pulse is rapid and slippery and tongue is yellow and greasy.
a. Qing Qi Hua Tan Wan
b. Ding Chuan Wan
c. Qi Guan Yan Ke Sou Tan Chuan Wan
d. Ren Shen Bai Du Wan
a. Qing Qi Hua Tan Wan

Note: for phlegm heat in the LU. Note the sputum quantity, color and consistency
Karen presents today with dyspnea, wheezing, rattles and rales, tightness & fullness in the chest. Her tongue is greasy white or yellow and her pulse is slippery.
a. Qing Qi Hua Tan Wan
b. Ding Chuan Wan
c. Qi Guan Yan Ke Sou Tan Chuan Wan
d. Ren Shen Bai Du Wan
b. Ding Chuan Wan

Note: This is the basic formula for wheezing and asthma due to phlegm heat accumulation in the LU. Note symptoms of wheezing and dyspnea
Kay presents today with dyspnea, orthopnea, breathlessness, chronic productive cough, fullness in the chest and a slippery soft pulse with a greasy white tongue coating.
a. Qing Qi Hua Tan Wan
b. Ding Chuan Wan
c. Qi Guan Yan Ke Sou Tan Chuan Wan
d. Ren Shen Bai Du Wan
c. Qi Guan Yan Ke Sou Tan Chuan Wan

Note: for chronic cough from phlegm damp accumulation in the LU. Note chronic productive cough with dyspnea and orthopnea... usual signs of bronchitis
Phyllis comes in with a persistent productive cough with either green or white, hard to expectorate sputum, chest rattle with shortness of breath and wheezing. Tongue is greasy and pulse is slippery.
a. She Dan Chuan Bei Ye
b. Yang Yin Qing Fei Wan
c. Nin Jiom Pei Pa Kao
d. Zhi Sou Wan
a. She Dan Chuan Bei Ye

Note: For phlegm damp congestion in the LU that is hard to expectorate. She Dan (snake bile) is excellent at breaking up tenacious sputum
Barbie comes in with dry mouth, dry irritated or congested throat, raspy or hoarse voice, dry or productive cough, which is usually worse at night, sputum is sticky and hard to expectorate.
a. She Dan Chuan Bei Ye
b. Yang Yin Qing Fei Wan
c. Nin Jiom Pei Pa Kao
d. Zhi Sou Wan
c. Nin Jiom Pei Pa Kao

Note: also called Chuan Bei Pi Pa Gao, for phlegm or phlegm heat in the LU, with mild damage to yin fluids... note dry mouth and throat, sticky sputum
Larry presents with a tickle in the throat, itchy throat, persistent irritating cough which may be worse at night. States he had a upper respiratory tract infection a few weeks ago, which resolved, but the cough persists.
a. She Dan Chuan Bei Ye
b. Yang Yin Qing Fei Wan
c. Nin Jiom Pei Pa Kao
d. Zhi Sou Wan
d. Zhi Sou Wan

Note: for residual cough unresolved following Wind invasion of the LU
Connie presents with recurrent dry sore throat in the afternoon or evening, chronic dry, irritating cough, usually worse at night, tendency to constipation or dry stools, dry skin, lips & mucus membranes. Tongue is red, dry no coat or yellow dry coat. Pulse is thready, rapid.
a. She Dan Chuan Bei Ye
b. Yang Yin Qing Fei Wan
c. Nin Jiom Pei Pa Kao
d. Zhi Sou Wan
b. Yang Yin Qing Fei Wan

Note: for LU yin deficiency.. note dry skin, lips, and mucosa
Patty comes in with chronic wheezing, asthma, chronic dry unproductive cough, lower back ache, low grade afternoon fever, night sweats, weight loss, heat in the palms & soles, tinnitus, dizziness, malar flush, thirst, dry mouth and throat, tongue is red, dry and cracked, pulse is thready, rapid.
a. She Dan Chuan Bei Ye
b. Yang Yin Qing Fei Wan
c. Mai Wei Di Huang Wan
d. Sheng Mai San Wan
c. Mai Wei Di Huang Wan

Note: this is a variation of Liu Wei Di Huang Wan... for KI and LU yin deficiency... note low back pain, yin deficient general symptoms, and wheezing/asthma
Kenny presents with spontaneous sweating, night sweats, breathlessness, dry mouth & throat, chronic dry cough or wheezing with little or no sputum or hard to expectorate sputum, insomnia, palpitations, tachycardia, tongue is pink, or red and swollen, pulse is thready & weak.
a. She Dan Chuan Bei Ye
b. Yang Yin Qing Fei Wan
c. Mai Wei Di Huang Wan
d. Sheng Mai San Wan
d. Sheng Mai San Wan

Note: for LU, HT, and ST qi and yin deficiency... note the basic yin def signs, LU signs, HT signs, thready, weak pulse - qi def signs
Peter comes in with cold intolerance, dizziness, increased desire to sleep, fatigue, cough with thin watery sputum, palpitations, heaviness and aching in extremities, loose stools, diarrhea, pitting edema that’s worse in his lower extremities, his urination is scanty and he notes he has abdominal pain. Pulse is deep and weak and tongue is pale and swollen.
a. Wu Pi Yin
b. Zhen Wu Tang Wan
c. Fang Ji Huang Qi Wan
d. Wu Ling San Wan
b. Zhen Wu Tang Wan

Note: for KI/SP/HT yang deficiency... note edema (KI), achy extremities (SP), and palpitations (HT). This formula is a diuretic and cardiac stimulant... good for CHF
Shelly presents with mild edema, puffy eyes and fingers with difficulty urinating. Her tongue is pale.
a. Wu Pi Yin
b. Zhen Wu Tang Wan
c. Fang Ji Huang Qi Wan
d. Wu Ling San Wan
d. Wu Ling San Wan

Note: for SP qi deficiency with fluid accumulation, mainly as mild edema in the upper extremities and face. Also good for sudden turmoil disorder
Stacey presents with general edema and fluid retention, puffy fingers and ankles.
a. Wu Pi Yin
b. Zhen Wu Tang Wan
c. Fang Ji Huang Qi Wan
d. Wu Ling San Wan
a. Wu Pi Yin

Note: this formula is good for mild, generalized edema, like premenstrual water retention
Margie comes in w a general sense of heaviness and fatigue, she has frequent cold & flus, she has a poor appetite, loose stools, she’s overweight, she has joint pain, stiffness and numbness, knee pain & swelling, her urination is scanty and she has spontaneous sweating and a pale complexion and tongue. Her pulse is floating and soggy.
a. Wu Pi Yin
b. Zhen Wu Tang Wan
c. Fang Ji Huang Qi Wan
d. Wu Ling San Wan
c. Fang Ji Huang Qi Wan

Note: for SP qi deficiency with wind-edema...note wei qi deficient signs.(frequent colds), knee pain and swelling... Fang ji for bad knees
Clara presents with cloudy/milky urine with persistent thick white discharge, nocturia, urinary discomfort, perineal pain, low back ache, her tongue is normal to pale with thick white coat at root and pulse is soft weak or slippery.
a. Chin So Ku Ching Wan/ Jin Suo Gu Jing Wan
b. Tao Chih Pien
c. Bi Xie Fen Qing Wan
d. Ba Zheng San Wan
c. Bi Xie Fen Qing Wan

Note: treats KiI qi deficiency (note weak pulse), with dampness causing turbid or cloudy urination...Gao Lin syndrome
Dana comes in with fever but also states she sometimes has alternating fever and chills, suprapubic distention & pain, acute burning pain during urination, strong smelling concentrated urine. Her pulse is slippery rapid and her tongue is greasy and yellow.
a. Chin So Ku Ching Wan/Jin Suo Gu Jing Wan
b. Tao Chih Pien
c. Bi Xie Fen Qing Wan
d. Ba Zheng San Wan
d. Ba Zheng San Wan

Note: treats Damp Heat in the BL
Maggie comes in with UTI, insomnia, restlessness, night crying and nightmares. Her urine is strong smelling and concentrated, cheeks and lips are red, she has constipation, thirst, mouth ulcers and diaper rash. Her tongue is red tipped.
a. Chin So Ku Ching Wan/Jin Suo Gu Jing Wan
b. Tao Chih Pien
c. Bi Xie Fen Qing Wan
d. Ba Zheng San Wan
b. Tao Chih Pien

Note: treats HT fire transmitting to the SI...think damp heat with a lot of heart signs
Kelly comes in for urinary frequency, nocturia, and incontinence.
a. Chin So Ku Ching Wan/Jin Suo Gu Jing Wan
b. Tao Chih Pien
c. Bi Xie Fen Qing Wan
d. Ba Zheng San Wan
a. Chin So Ku Ching Wan/Jin Suo Gu Jing Wan

Note: for Ki qi deficiency with leakage of fluids
Mike comes in with cloudy urine, nocturia, anxiety, dream disturbed sleep, insomnia, is fearful and has memory problems, enuresis is associated with his fearfulness and fright. His tongue is pale and his pulse is thready, weak and slow.
a. Chin So Ku Ching Wan/Jin Suo Gu Jing Wan
b. Tao Chih Pien
c. Bi Xie Fen Qing Wan
d. Sang Piao Xiao Wan
d. Sang Piao Xiao Wan

Note: for HT and KI qi deficiency
Angie comes in with angina, stuffy sensation in the chest, and chest oppression that’s worse with exertion and breathlessness, tongue is purple,brown or purple patches, swollen distended sublingual veins.
a. Dan Shen Pill
b. Dan Shen Yin Wan
c. Zhi Gan Cao Wan
d. Bu Yang Huan Wu Wan
a. Dan Shen Pill

Note: Treats blood stagnation in the chest
Paul comes in with precordial chest pain, focal boring epigastric pain that’s worse for pressure, fullness, stuffiness or discomfort in the chest.
a. Dan Shen Pill
b. Dan Shen Yin Wan
c. Zhi Gan Cao Wan
d. Bu Yang Huan Wu Wan
b. Dan Shen Yin Wan

Note: for mild blood stagnation in the HT and ST
Patient presents with insomnia, difficulty turning off the mind, dream disturbed sleep, forgetfulness, fatigue, breathlessness, which are all exacerbated by exertion and fatigue, palpitations, and tendency towards constipation. Pulse is knotted, irregular and thready weak with a pink or pale tongue w little or no coat.
a. Dan Shen Pill
b. Dan Shen Yin Wan
c. Zhi Gan Cao Wan
d. Bu Yang Huan Wu Wan
c. Zhi Gan Cao Wan

Note: for HT Qi, Blood, and/or yin deficiency
Steve comes in status-post CVA. He has unilateral facial paralysis, difficulty speaking clearly, and hemiplegia.
a. Dan Shen Pill
b. Dan Shen Yin Wan
c. Zhi Gan Cao Wan
d. Bu Yang Huan Wu Wan
d. Bu Yang Huan Wu Wan

Note: for sequelae of wind-stroke in pts with blood stagnation and qi deficiency
Hank comes in with pain & cramping in the limbs that’s aggravated by exposure to cold and better with heat. Hands and feet are cold bluish purple and tongue is pale with white coating. Pulse is deep thready or imperceptible.
a. Dan Shen Pill
b. Dang Gui Si Ni Wan
c. Zhi Gan Cao Wan
d. Bu Yang Huan Wu Wan
b. Dang Gui Si Ni Wan

For cold accumulating in the channels and vessels... often used for Reynaud's syndrome
Mary comes in complaining of thirst, dry mouth and throat, low grade fever in the afternoon, night sweats, and a chronic, dry cough. She tends to have dry stools, and is constipated often. You note heat in the palms and soles, a thready rapid pulse, and a red, dry tongue with little or no coat.
a. Yang Yin Qing Fei Wan
b. Bai He Ju Jin Wan
c. Mai Wei Di Huang Wan
d. Ning Sou Wan
b. Bai He Ju Jin Wan

Note: this is similar to answer a., but with more yin deficient signs... also, this is used for Sjogren's Syndrome