Shang Han Lun Zheng Test Ii

Front 1

With cold damage, there is water qi below the heart, cough, mild panting and heat effussion without thirst which formula?

Back 1

Xiao Qing Long Tang

Front 2

What is "vacuity vexation" characterized by?

Back 2

vexation, inability to sleep, anguish in the heart
upright Qi is damaged and evil Qi harasses

*Tai Yang transmutted heat pattern

Front 3

What does it mean if there is thirst after drinking Xiao Qing Long Tang?

Back 3

*cold is going and the disease is about to resolve
*thirst from water retention (cannot distribute body fluid evenly)

Front 4

"vacuity vexation" is treated by which main formula?

Back 4

Zhi Zi Chi Tang
(Gardenia and Prepared Soybean Decoction)

Front 5

Etiology for Xiao Qing Long Tang

Back 5

Tai Yang Cold Damage with Interior Heat

Front 6

Chief complaint of "vacuity vexation"?

Back 6

Line 76B: (after sweating, vomiting, or use of precipitation) vacuity vexation (heat in the HT) and inability to sleep

Front 7

Formula for lingering Tai Yang more than 8-9 days; fever > chills 2 - 3/day;

Back 7

Gui Zhi Ma Huang Ge Ban Tang

Front 8

Zhi Zi Chi Tang ingredients
(Gardenia and Fermented Soybean Decoction)

Back 8

Zhi Zi - herbs that drain fire
Dan Dou Chi - release exterior

Front 9

with Gui Zhi Ma Huang Ge Ban Tang
no vomitting = ?
no diarrhea = ?

Back 9

no vomitting = NO Shao Yang;
no diarrhea = NO Yang Ming;

Front 10

Vacuity vexation with shortage of Qi treated by which variation of Zhi Zi Chi Tang?

Back 10

Zhi Zi Gan Cao Chi Tang

Front 11

If after taking Gui Zhi Tang there is great sweating and the pulse is surging, and the disease resembles Malaria (occurring 2x/day) which formula is used?

Back 11

Gui Zhi Er Ma Huang Yi Tang

*Sweating will resolve the disease

Front 12

Vacuity vexation with retching treated by which variation of Zhi Zi Chi Tang?

Back 12

Zhi Zi Sheng Jiang Chi Tang

Front 13

When can Transmuted Patterns of Tai Yang Disease occur?

Back 13

1. As a result of inappropriate treatment
2. When an extremely severe exterior evil is contracted
3. As a result of factors related to the constitution of the patient.

Front 14

After sweating is promoted, if precipitation is used and there is heat vexation and stuffiness in the chest, which formula is appropriate?

Back 14

still Zhi Zi Chi Tang

Front 15

Zhi Zi Chi Tang is contraindicated with....

Back 15

Line 81: SP Qi deficiency & Internal Cold

Front 16

If Gui Zhi Tang cannot be used again and if sweat issues, there is panting, and great heat is absent, which formula is appropriate?

Back 16

Ma Huang Xing Zi Gan Cao Shi Gao Tang
(Ma Xing Gan Shi Tang)

Front 17

Ma Xing Shi Gan Tang contraindicated with .....

Back 17

Interior heat "great heat is absent"

Front 18

Chief complaint when using Ma Xing Gan Shi Tang

Back 18

LU Qi deficiency = panting

Front 19

Ingredients of Ma Xing Gan Shi Tang

Back 19

Shi Gao
Xing Ren
Ma Huang
Gan Cao
*first three ingredients basic combo for any cough

Front 20

San Ao Tang ingredients and basic formula for.....

Back 20

Three Balance Decoction basic formula for cough:
Ma Huang
Xing Ren
Gan Cao

Front 21

Which formula is appropriate after Gui Zhi Tang and "great sweat is issued" (abnormal - damaging body fluid and Qi) with vexation and thirst, with surging and large pulse

Back 21

Bai Hu Jia Ren Shen Tang
(Great White Tiger Decoction w/ Ginseng)

Front 22

Under what circumstance is Bai Hu Jia Ren Shen Tang appropriate?

Back 22

*improper treatment caused pathogen to go from external to internal
*Yang Ming channel heat
*good for diabetes - treats middle jiao

Front 23

Formula for Tai Yang Wind Strike with incessant diarrhea, panting, and sweating?

Back 23

Ge Gen Huang Qin Huang Lian Tang

Front 24

True of False:
Ge Gen Huang Qin Huang Lian Tang can treat both exterior and interior heat.

Back 24

True

Front 25

True or False:
Ge Gen Huang Qin Huang Lian Tang can be used with no exterior syndromes present.

Back 25

True
*for Interior>Exterior and can be used for only interior condition

Front 26

Chief complaints for Tai Yang Wind Strike when Ge Gen Huang Qin Tang is appropriate:

Back 26

*diarrhea w/ burning sensation around anus
*tongue - yellow greasy coat
*dysentary diarrhea

Front 27

Ge Gen and Huang Qin indications in Ge Gen Huang Qin Tang

Back 27

Ge Gen: clear LI heat, release ext. from muscle layer (neck and back pain)
*in formula used for interior
Huang Qin: when heat reaches LI turns into damp-heat, for LI & LU heat

Front 28

Deficiency Cold Patterns can affect:

Back 28

HT, SP, Lower Jiao

Front 29

How does HT Yang deficiency affect the heart?

Back 29

Too much sweating can affect the HT leading to palpitation & agitation (chief complaints)

Front 30

Which formula is appropriate for palpitations improved by pressure (warmth) due to HT Yang Qi deficiency?

Back 30

Gui Zhi Gan Cao Tang

Front 31

What are acrid + sweet tastes used for in combination?

Back 31

generate Yang and Qi

Front 32

True or False:
In Shang Han Lun, Rou Gui is sometimes used to replace Gui Zhi

Back 32

False! Rou Gui did not exist. Gui Zhi was always used.

Front 33

When red hot needling is used to cause sweating, needling site contracts cold causing "running piglet" Qi which formula is proper?

Back 33

Gui Zhi Jia Gui Tang

Line 117

Front 34

Definition of "running piglet qi":

Back 34

Yang Qi Vacuity *damage/deficiency (more HT) caused by wrong treatment of fire needle

Front 35

With Yang Vacuity with Water Qi, the patient experiences palpitations in the abdomen and running piglet is about to occur which formula is appropriate?

Back 35

Fu Ling Gui Zhi Gan Cao Da Zao Tang

Line 65

Front 36

Two formulas for "Running Piglet Qi"?

Back 36

1) Gui Zhi Jia Gui Tang (fire-needle)
2) Fu Ling Gui Zhi Gan Cao Da Zao Tang (running piglet about to occur)

Front 37

When in Cold Damage, after vomiting and precipitation, there is fullness below heart, qi surges toward the chest, dizzy upon standing, pulse sunken and tight, sweating promoted , channels will be stirred (quivering and trembling) which formula is appropriate?

Back 37

Fu Ling Gui Zhi Bai Zhu Gan Cao Tang

Front 38

Cold damage that has lasted more than two or three days with palpitations and vexation in the heart which formula governs?

Back 38

Xiao Jian Zhong Tang
(Minor Construct the Middle Decoction - SP Yang & Qi deficiency)
Line 102

Front 39

Unresolved Tai Yang Disease, person still has heat effusion, and palpitations below heart, dizzy head, generalized twitching, and the person is quivering about to fall which formula governs?

Back 39

Zhen Wu Tang
(True Warrior Decoction)
Line 82

Front 40

Etiology for Zhen Wu Tang (True Warrior Decoction)?

Back 40

HT < KI Yang Deficiency

Front 41

Ingredients of Zhen Wu Tang?

Back 41

Fu Zi
Fu Ling & Bai Zhu - transform body fluid
Bai Shao - nourish KI, promote urine with damaging Yin
Sheng Jiang & Fu Ling - transform damp

Front 42

Other Etiologies for Zhen Wu Tang?

Back 42

*Yin Edema from Yang/Qi Def.
*Meniere's disease
*Cushing's syndrome

Front 43

Cold Damage with pulse that is bound and intermittent, and stirring heart palpitations which formula governs?

Back 43

Zhi Gan Cao Tang
(Honey Fried Licorice Decoction)
Line 177

Front 44

Main formula for Edema?

Back 44

Wu Ling San
(Poria Five Powder)

Front 45

For dryness in the stomach (thirst), vexation and agitation with insomnia, difficult urination, slight heat which formula governs?

Back 45

Wu Ling San
(Poria Five Powder)

Line 71

Front 46

When Tai Yang is unresolved and heat binds in the BL leading to mild blood amassment (Xu Xue - accumulation of blood stasis and heat) with bleeding in urine or stool, pain in lower abdomen, red tongue with possible yellow coat, which formula governs?

Back 46

Tao He Cheng Qi Tang
(Peach Pit to Order the Qi Decoction)
Line 106

Front 47

Tao He Cheng Qi Tang is a modification of which formula?

Back 47

Tiao Wei Cheng Qi Tang
(Regulate the ST and Order the Qi Decoction)

Front 48

How is blood heat eliminated?

Back 48

purging

Front 49

True or False:
When one is treating a pattern of blood amassment following contraction of Tai Yang, the exterior must be resolved before the interior can be treated.

Back 49

True
With Blood Amassment , expelling stasis and discharging heat would cause evil to penetrate deeper possibly making condition worse.

Front 50

What is the cause of Chest Bind Patterns?

Back 50

The result of a heat evil falling inward and binding with water and phlegm.

Front 51

Formulas for Major Chest Bind?

Back 51

Da Xian Xiong Wan (Major Chest Bind Pill)
*manifestations above the diaphragm

Da Xian Xiong Tang (Major Chest Bind Decoction)
*stronger; manifestations below diaphragm

Front 52

Formula for Minor Chest Bind?

Back 52

Xiao Xian Xiong Tang
(Minor Chest Bind Decoction)

Front 53

Examples of Form Evils (Subsequential):

Back 53

damp
phlegm
water
food stagnation
blood

Front 54

Examples of Formless Evils (Insubsequential):

Back 54

Qi, Cold, Heat

Front 55

What is the primary pulse and signs of Chest Bind Patterns?

Back 55

In Chest Bind, if there is pain when pressure is applied, the cun pulse is floating, and the guan pulse is sunken

Front 56

When the disease springs from the interior leading and precipitation (purging) is used, the evil causes a Glomus, with chest and neck pain which formula governs?

Back 56

Da Xian Xiong Wan
(Major Chest Bind Pill)

*Even though purging was the wrong method initially, purging must now be used because evil has gone interior and turned into heat with phlegm and water

Front 57

In Da Xian Xiong Wan (Major Chest Bind Pill), why is honey used instead of Gan Cao?

Back 57

Da Xian Xiong Wan (Major Chest Bind Pill) contains Xing Ren (contra. with Gan Cao)

Front 58

With Tai Yang disease when pulse is floating, rapid, and stirred with headache, fever, mild night sweats, and aversion to cold but wrong treatment is used (precipitation) and pulse changes slowing down which formula governs?

Back 58

Da Xian Xiong Tang (Major Chest Bind Decoction)

Front 59

In Da Xian Xiong Wan (Major Chest Bind Pill) what is the procedure of adding Gan Sui?

Back 59

Add Gan Sui last as powder

Front 60

What does a pulse that is floating, rapid and stirred mean when Da Xian Xiong Tang governs?

Back 60

Floating = Wind
Rapid = Heat
Stirred = Pain

Front 61

When wrong treatment has been used and pulse has changed from rapid to slow, pain that refuses pressure in the diaphragm, vexation and agitation, and anguish in the heart (chest bind) which formula governs?

Back 61

Da Xian Xiong Tang
(Major Chest Bind Decoction)

Front 62

When there is no chest bind after wrong treatment and Jaundice presents with sweating above the neck, incomplete diarrhea or constipation, and difficult urination which formula governs?

Back 62

Da Xian Xiong Tang
(Major Chest Bind Decoction)

Front 63

Ingredients of Da Xian Xiong Tang?

Back 63

Da Huang - decoct first
Mang Xiao - add second
Gan Sui - add last as powder

Front 64

In Minor Chest Bind Disease where is the location of the pain?

Back 64

Location of pain is directly below the heart when pressure is applied;
*Purging turns pathogen to insubsequential pathogen (heat = formless);
*heat + Qi stagnation + cold = excess & deficiency blocks middle jiao

Line 138

Front 65

In Minor Chest Bind Disease what is the pulse?

Back 65

Pulse is floating and slippery;

Line 138

Front 66

In Minor Chest Bind Disease which formula governs?

Back 66

Xiao Xian Xiong Tang (Minor Chest Bind Decoction)

Line 138

Front 67

Definition of Glomus Patterns:

Back 67

Localized subjective feeling of fullness & blockage that develops as a result of improper use of precipitation with Tai Yang Disease causing heat evil to fall inward and bind with a formless evil to bind in the interior

Front 68

Definition of Qi Glomus:

Back 68

"When the pulse is floating and tight, yet precipitation is used, the tightness instead enters the interior and makes a glomus, which when pressed is soft" -subjective sensation

Line 151

Front 69

When there is a glomus below the heart that is soft when pressure is applied, and the pulse is floating on the bar (where Cun & Guan pulse meet relating to epigastrium/diaghram or separation of upper & middle jiao) which formula governs?

Back 69

Da Huang Huang Lian Xie Xin Tang (Rhubarb and Coptis Heart-Draining Decoction)

Line 154

Front 70

What can be added to Da Huang Huang Lian Xie Xin Tang (Rhubarb and Coptis Heart-Draining Decoction) to strengthen the formula's ability to clear heat & disperse glomus?

Back 70

Huang Qin

Line 154

Front 71

Cold-Heat Complex Glomus Patterns from
1) Cold damage lasting 5-6 days
2) Use of precipitation leads to chest bind and Da Xian Xiong Tang has been used leading to steaming and quivering
3) Precipitation damages SP/ST leading to cold-type diarrhea
Tongue may be thick and yellow... which formula governs?

Back 71

Ban Xia Xie Xin Tang
(Minor Bupleurum and Pinellia Heart-Draining Decoction)
Line 149

Front 72

Ban Xia Xie Xin Tang
(Minor Bupleurum and Pinellia Heart-Draining Decoction) is a modification of which formula?

Back 72

Xiao Chai Hu Tang (Minor Bupleurem Decoction)

Front 73

When in Cold Damage after sweat has issued and brought resolution, the ST is in disharmony, there is a hard glomus below the heart, dry belching with a malador of food, water qi on the rib-side, thunderous rumbling in the abdomen, and diarrhea which formula governs?

Back 73

Sheng Jiang Xie Xin Tang
(Fresh Ginger Heart-Draining Decoction)
Line 157

Front 74

Which formula governs when inappropriate use of precipitation causes SP/ST vacuity, leading to severe glomus and diarrhea?

Back 74

Gan Cao Xie Xin Tang (Licorice and Heart-Draining Decoction)
*SP Qi def.
Line 158

Front 75

Shi Zao Tang (Ten-Jujube Decoction) ingredients:
Contraindicated with:

Back 75

Gan Sui
Da Ji
Yuan Hua
Da Zao - added to augment qi, protect the stomach, and moderate the harshness & toxicity of other ingredients
Contra: Gan Cao

Front 76

Gan Cao is contraindicated with:

Back 76

Yuan Hua
Gan Sui
Da Ji

Front 77

Cough with pain in the chest and hypochondria, hard focal distention of the epigastrium, dry heaves, shortness of breath, headache, vertigo, white slippery tongue coat, submerged wiry pulse; May also be chest pain extending to the back that makes breathing difficult which formula governs?

Back 77

Shi Zao Tang (Ten Jujube Decoction)
*Ascitis
Line 152