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46 Cards in this Set
- Front
- Back
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Deficiency
- insufficiency of vital qi, physiological substances - tx: tonify (strengthen, supplement, nourish) |
What is Deficiency and Tx Principle
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Excess
- presence of pathogenic factors - tx: reduce, expel, drain |
What is Excess and Tx Principle
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Shi or Xu only
s/s: weak constitution, lassitude, feebleness, fatigue, voice low quiet, dull pain which prefers pressure, pale tongue, weak pulse, thin tongue coat or none, dragging energy wise |
Deficiency Syndrome s/s
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s/s: frequent colds and flu, tiredness, chronic
fatigue, dyspnea, poor appetite, loose stool, pale tongue, thready/weak pulse, spontaneous sweating |
Exterior Deficiency
Exterior Wind (gui zhi tang syndrome) Wei Qi Deficiency (LU, SP) s/s |
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Tx for Exterior Deficiency
Exterior Wind (gui zhi tang syndrome) Wei Qi Deficiency (LU, SP) |
Tx: tonify wei qi, stabilize exterior
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Herbs fro Exterior Deficiency
Exterior Wind (gui zhi tang syndrome) Wei Qi Deficiency (LU, SP) |
huang qi (Astragalus Root), bai zhu
(Atractylodes Rhizome), fang feng (Ledebouriella) |
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Formula for Exterior Deficiency
Exterior Wind (gui zhi tang syndrome) Wei Qi Deficiency (LU, SP) If have cold & flu no to formula |
yu ping feng san (Jade Windscreen
Decoction) |
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Points for Exterior Deficiency
Exterior Wind (gui zhi tang syndrome) Wei Qi Deficiency (LU, SP) |
LU9, LU1, ST36, Ren12,
Ren17, UB13, UB20, SI3, SJ5 |
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Which Zang Fu are affected by Interior Deficiency
for Qi, Yang, Yin, Blood, Essence |
Qi – LU, SP, KI
Yang – SP, KI, HT Yin – KI, LR, LU, ST, HT Blood – LR, HT Essence - KI |
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s/s: Lassitude, fatigue, SOB, low voice,
spontaneous sweating less severe, seminal emission, dizziness upon standing, incontinence, frequent loose stool, pale tongue, pale face, weak pulse |
Qi Deficiency s/s
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Tx for Qi Deficiency
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Tx: tonify qi
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Points Qi Deficiency
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ST36, Ren4, Ren6, Ren12,
yuan-source and back-shu of SP, c/b w/ LU and/or KI, moxa |
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Herbs for Qi Deficiency
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ren shen (Ginseng Root)
dang shen (codonopsis root) bai zhu (Atractylodes Rhizome) huang qi (Astragalus Root) zhi gan cao (Locorice Root) |
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Formula for Qi Deficiency
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bu zhong yi qi tang (Tonify the Middle and
Augment the Qi Decoction) - allergy prevention ** si jun zi tang (Four Gentlemen Decoction) clinically used |
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Not an organ issue
s/s: starts with qi deficiency s/s w/ cold syndrome – intolerance of cold, cold extremities, pain w/ cold sensation or likes warmth, loose stool, incontinence, c/b edema lower or whole body, c/b blood stasis pale and puffy tongue (c/b blue-purple), deep, thready, weak, frail pulse |
Yang Deficiency s/s
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Tx for Yang Deficiency
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Tx: warm yang, expel cold
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Herbs for Yang Deficiency
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qi deficiency herbs +
gan jiang (Dried Ginger Root) fu zi (Prepared Aconite) rou gui (Cinammon Bark) ba ji tian (Morinda Root) rou cong rong (Cistanche) |
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Formula for Yang Deficiency
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fu zi li zhong tang (Prepared Aconite Pill to
Regulate the Middle) SP Yang ** jin gui shen qi wan (Kidney Qi Pill from the Golden Cabinet) KI Yang |
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Points for Yang Deficiency
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Acupuncture
moxa/warm needle on qi tonify points moxa umbillicus - ginger for SP Yang, salt for KI Yang Plus Qi tinifying points, Du4, KI7, Du14, BL23, Ren4 |
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s/s: low grade fever, tidal fever, hot flashes, 5
palm heat, night sweats, malar flush, thin body, red tongue w/ scanty coat peeled mirrored, geographic, thready and rapid pulse |
Yin Deficiency s/s
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Tx for Yin Deficiency
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Tx: nourish yin, clear heat
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herbs for Yin Deficiency
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sheng di huang (Fresh Rehmannia Root)
bai shao yao (White Peony Root) mai men dong (ophiopogos tuber) sha shen (Adenophora or Glehnia Root) shi hu (Dendrobium) nu zhen zi (ligustrum fruit) han lian cao (Eclipta Herb) |
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Formula for Yin Deficiency
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zuo gui wan (Restore the Left Pill)
sha shen mai men dong tang (Glehnia and Ophiopogonis Decoction) ** liu wei di huang wan (Six Ingredient Pill with Rehmannia) nourich Yin |
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Points for Yin Deficiency
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SP6, KI6, Ren4, Ren6, UB23, KI3, ST36
If deficiency fire add KI2, LI11 If night sweating add SI3, HT6, KI7 If insomnia add HT7 |
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Don't look for an organ
s/s: dizziness, vertigo, blurry vision, palpitations, insomnia, pale face, tongue, lips, nails, dull pain, thin tongue coat, weak pulse, s/t red face or heat signs, brittle nails (Lr), heavy menses |
Blood Deficiency s/s
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Tx for Blood Deficiency
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Tx: tonify blood, address reason for
deficiency If SP Qi Xu, tonify SP Qi and Xue Could be blood loos internal or external |
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Herbs for Blood Deficiency
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Herbs
dang gui (Chinese Angelica Root) bai shao yao (White Peony Root) shu di huang (Raw Rehmannia Root) he shou wu (fleeceflower root) e jiao (Ass-Hide Glue) Also tonify qi: dang shen (codonopsis root) ren shen (Ginseng Root) huang qi (Astragalus Root) |
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Formula for Blood Deficiency
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si wu tang (Four Substance Decoction)
dang gui bu xue tang (Tangkui Decoction to Tonify the Blood) |
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Points for Blood Deficiency
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UB17, SP10, GB39, tonify qi and yin, BL17 + BL20, LR8, HT7, SP10 + ST36, Ren4
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s/s: sore or weak lumbar and knees,
dizziness, vertigo, poor memory and concentration, poor development of body ie 5 lates - late walk - talk - speak - teething - fontanel, poor development of reproductive organs, low libido, scanty menses, amenorrhea, infertility, impotence, premature aging, graying & balding of hair, tongue pale and small, thin coat, thready and weak pulse |
Essence Deficiency s/s
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Tx for Essence Deficiency
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Tx: tonify KI essence, qi and yin
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Herbs for Essence Deficiency - not TQ
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tu si zi (Cuscuta Seed)
sang ji sheng (Chinese Taxillus) gou qi zi (Lycium Fruit) fu pen zi (Rubus Fruit) sang shen (Mulberry Fruit) huang jing (Polygonatum Root) zi he che (Human Placenta) gui ban (Tortoise Plastron) lu jiao jiao (Deer Horn Gelatin) |
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Points for Essence Deficiency
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UB52, UB23, Du4, Ren4, jing treatment
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Not Y/Y
s/s - various, strong constitution, loud voice, good spirit, severe pain which dislikes pressure, rough tongue body, thick tongue coat, forceful pulse |
Excess Syndromes s/s
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What are the names for the Exterior Excess cold and heat
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Exterior excess cold (ma huang tang
syndrome) Internal W-C excess Exterior excess heat (yin qiao san syndrome) Exterior W-H excess |
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Looking for Int/Ext, W-C-D-H, shi or xu
s/s: cold extremities, pale face, abdominal pain w/cold sensation but may not be cold, pain dislikes pressure, borborygmus, constipation or loose stool, polyuria, cough w/clear sputum, eating cold foods especially when hot outside, pale or purple tongue, thick coat, deep, slow, tense pulse |
Interior Excess Cold s/s
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Tx for Interior Excess Cold
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Tx: expel cold, warm yang, relieve pain
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Herbs for Interior Excess Cold
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gan jiang (Dried Ginger Root)
xi xin (Wild Ginger) fu zi (Prepared Aconite) rou gui (Cinammon Bark) wu zhu yu (Evodia) gao liang jiang (Galanga) ding xiang (Cloves) |
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Formula for Interior Excess Cold - not a TQ
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gui fu li zhong tang (Cinnamon and Prepared
Aconite Decoction to Regulate the Middle) |
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Points for Interior Excess Cold
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Moxa umbillicus with ginger, Fire/Water Treatment, tonify ST fire point ST41, disbuse water point ST44
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Answer has nothing to do with LR
s/s: fever, high and constant, thirst w/ preference for cold drinks, red face and eyes, abdominal distention and pain which dislikes pressure and warmth, constipation, dark urine, c/b delerium, loss of consciousness, red/crimson and rough tongue, yellow, thick, dry coat, pulse rapid, forceful, rolling, wiry, full |
Interior Excess Heat s/s
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Tx for Interior Excess Heat
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Tx: clear/drain heat through BL, purge fire through stools
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Herbs for Interior Excess Heat - not a TQ
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huang qin (Scutellaria Root)
huang lian (Coptis Root) huang bai (Phellodendron Bark) zhi zi (Gardenia Fruit) da huang (Rhubarb Root) shi gao (Gypsum) long dan cao (Gentiana Root) |
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Formula for Interior Excess Heat - not a TQ
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da cheng qi tang (Major Order the Qi
Decoction) bai hu tang (White Tiger Decoction) |
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Points for Interior Excess Heat
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Ying spring points, jing-well points, LI11, SJ6,
ear apex, DU14, bleeding therapy, Fire/Water treatments |
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Differentiation of Excess and
Deficiency Patterns |
1.duration - short excess, long is Xu
2.constitution - strong excess or weak Xu 3.condition of shen 4.voice and breathing -strong loaud rough excess, shallow weak quiet Xu 5.pain - dislkies pressure and warmth excess, likes pressure and warmth Xu 6.fever - high strong constant excess, tidal hot flash Xu 7.cold 8.tongue - coat hick excess, thin or none Xu 9.pulse - big flooding escess, thin weak Xu |
