Case Studies

Front 1

Case Study #1
M/10, complains that after dinner last night he had discomfort and pain in the epigastrium with fetid belching, acid regurgitation,and abdominal fullness and bloating. He had diarrhea this morning and the symptoms were reduced. T: red with yellow greasy coating P: rapid and slippery;
Diagnosis?
a. SP Qi deficiency with damp in the middle jiao
b. food stagnation with heat accumulation
c. ST and Intestine disharmony
d. Sp and ST Qi deficiency with cold

Back 1

b. food stagnation with heat accumulation

Front 2

Case Study #1
M/10, complains that after dinner last night he had discomfort and pain in the epigastrium with fetid belching, acid regurgitation,and abdominal fullness and bloating. He had diarrhea this morning and the symptoms were reduced. T: red with yellow greasy coating P: rapid and slippery;
Treatment Principle?
a. Warm the middle jiao, dispel cold and improve digestion
b. harmonize the stomach and intestines to improve digestion
c. reduce food stagnation, regulate the ST and clear heat
d. tonify the SP/ST and improve digestion

Back 2

c. reduce food stagnation, regulate the ST and clear heat

Front 3

Case Study #1
M/10, complains that after dinner last night he had discomfort and pain in the epigastrium with fetid belching, acid regurgitation,and abdominal fullness and bloating. He had diarrhea this morning and the symptoms were reduced. T: red with yellow greasy coating P: rapid and slippery;
Formula?
a. Ban Xia Xie Xin Tang (Pinellia Drain the Epigastrium Powder)
b. Li Zhong Wan (Regulate the Middle Pill)
c. Ping Wei San (Calm The Stomach Powder)
d. Bo He Wan (Preserve and Harmonize Pill)

Back 3

Bo He Wan (Preserve and Harmonize Pill)

Front 4

Case Study #1
M/10, complains that after dinner last night he had discomfort and pain in the epigastrium with fetid belching, acid regurgitation,and abdominal fullness and bloating. He had diarrhea this morning and the symptoms were reduced. T: red with yellow greasy coating P: rapid and slippery;
Which of the following should NOT be used for him?
a. Shan Zha/ Lai Fu Zi
b. Chen Pi/Shen Qu
c. Lain Qiao/ Ban Xia
d. Huang Qi /Zhi Gan Cao

Back 4

d. Huang Qi /Zhi Gan Cao
to cloying will increase the stagnation in the epigastium

Front 5

Case study #2
F/35 has chronic eczema, controlled with corticosteriod cream for 5 years. 2 days ago she had a flare up after eating spicy seafood. Now she has eczema on both elbows that is itchy, red and dry with some scaling and blistering. When she scatches a yellow exudate appears. T: red with yellow coating P: floating rapid and slippery
Diagnosis?
a. Damp-heat in the LV channel
b. Blood and Qi deficiency
c. wind-damp-heat invading the skin
d. protective Qi deficeincy

Back 5

c. wind-damp-heat invading the skin

Front 6

Case study #2
F/35 has chronic eczema, controlled with corticosteriod cream for 5 years. 2 days ago she had a flare up after eating spicy seafood. Now she has eczema on both elbows that is itchy, red and dry with some scaling and blistering. When she scratches a yellow exudate appears. T: red with yellow coating P: floating rapid and slippery
Formula?
a. Long Dan Xie Gan Tang (Gentiana Drain the Liver Dec.)
b. Xiao Feng San(Eliminate Wind Powder)
c. Si Wu Tang (Four Substance Dec.)
d. Wu Pi San (Five Peel Powder)

Back 6

b. Xiao Feng San(Eliminate Wind Powder)
#1 for itching skin disorders due to wind

Front 7

Case study #2
F/35 has chronic eczema, controlled with corticosteriod cream for 5 years. 2 days ago she had a flare up after eating spicy seafood. Now she has eczema on both elbows that is itchy, red and dry with some scaling and blistering. When she scratches a yellow exudate appears. T: red with yellow coating P: floating rapid and slippery
Which of the following are NOT in the formula, Xiao Feng San?
a. Jing Jie/ Niu Bang Zi
b. Bai Zhu/ Shu Di Huang
c. Zhi Mu/ Mu Tong
d. Dang Gui / Huo Ma Ren

Back 7

b. Bai Zhu / Shu Di Huang

Xiao Feng San
Jing Jie
Fang Feng,Chan Tui
Niu Bang Zi
Cang Zhu,Mu tong
Ku Shen, Shi Gao
Zhi Mu,Dang Gui
Sheng Di Huang
Hei Zhi Ma, Gan Cao
Contraindicated with severe Qi or Blood deficiency

Front 8

Case Study #3
F/49 complains of palpitations and insomnia for 1 month. She is often dizzy and nauseated with a bitter taste in the mouth, dislikes drinking cold water. Her menses is irregular for 1 year. T: greasy yellow coat P: wiry and slippery
Diagnosis?
a. disharmony between the GB and ST with stirring phlegm-heat
b. HT Qi and Blood deficiency
c. hyperactivity of LV Yang rising and SP Qi deficiency
d. cold in the ST

Back 8

a. disharmony between the GB and ST with stirring phlegm-heat

Front 9

Case Study #3
F/49 complains of palpitations and insomnia for 1 month. She is often dizzy and nauseated with a bitter taste in the mouth, dislikes drinking cold water. Her menses is irregular for 1 year. T: greasy yellow coat P: wiry and slippery
Treatment Principle?
a. Spread LV Qi, tonify Blood to regulate the menses
b. nourish the Blood and tonify the Qi, calm the mind to stop palpitations
c. clear heat from the GB and ST, dry damp and resolve phlegm
d. Warm the ST to stop nausea and vomiting

Back 9

c. clear heat from the GB and ST, dry damp and resolve phlegm

Front 10

Case Study #3
F/49 complains of palpitations and insomnia for 1 month. She is often dizzy and nauseated with a bitter taste in the mouth, dislikes drinking cold water. Her menses is irregular for 1 year. T: greasy yellow coat P: wiry and slippery
Formula?
a. Gui Pi Tang (Restore the Spleen Dec.)
b. Wen Dang Tang (Warm The Gallbladder Dec.)
c. Er Chen Tang (Two Aged Dec.)
d. Suan Zao Ren Tang (Zizyphus Dec.)

Back 10

b. Wen Dang Tang (Warm The Gallbladder Dec.)111
a. Gui Pi Tang, SP Qi and HT blood def. T:pale swollen P:weak and thin
c. Er Chen Tang, Dries damp, resolves phlegm, regulates Qi harmonize the mid jiao T: swollen, smooth white coat P: slippery
d. Suan Zao Ren Tang, Nourish LV/HT Blood calm the mind clear empty heat T:red, dry scant coat,P: thin rapid wiry

Front 11

Case Study #3
F/49 complains of palpitations and insomnia for 1 month. She is often dizzy and nauseated with a bitter taste in the mouth, dislikes drinking cold water. Her menses is irregular for 1 year. T: greasy yellow coat P: wiry and slippery
Which of the following are in the formula Wen Dang Tang?
a. Dang Gui / Bai Shao
b. Mai Men Dong / Wu Wei Zi
c. Bai Ji Li / Tian Men Dong
d. Ban Xia / Zhu Ru

Back 11

d. Ban Xia / Zhu Ru

Wen Dang Tang
Zhu Ru, Chen Pi
Fu Ling, Zhi Shi
Gan Cao, Ban Xia
Da Zao, Sheng Jiang

Front 12

Case Study #4
F/34 infertility for 8 years. Married 12 years with 3 miscarriages. After 1st miscarriage she has irregular periods with lower abd pain during menses. Pain worse with pressure improved with warmth. T: dusky (pale purple) with dry thin coat P: thin weak and deep
Treatment principle?
a. tonify Qi , invigorate Blood and unblock the channels
b. strengthen the SP and warm the KD
c. warm the channels and dispel cold, nourish blood and reduce stagnation
d. nourish blood, stop bleeding, regulate the menses and calm the fetus

Back 12

b. strengthen the SP and warm the KD

Front 13

Case Study #4
F/34 infertility for 8 years. Married 12 years with 3 miscarriages. After 1st miscarriage she has irregular periods with lower abd pain during menses. Pain worse with pressure improved with warmth. T: dusky (pale purple) with dry thin coat P: thin weak and deep
Formula?
a. Tao He Cheng Qi Tang (Prunus Order the Qi Dec.)
b. Wen Jing Tang (Warm the Menses Dec.)
c. Xue Fu Zhu Yu Tang (Blood Mansion Eliminate Stasis Dec.)
d. Gu JIng Wan (Stabilize the Menses Pill)

Back 13

b. Wen Jing Tang (Warm the Menses Dec.)
Chong and Ren Empty cold with Blood stagnation, warms the menses, nourish blood, tonifies Qi in mid jiao
a. Tao He Cheng Qi Tang, Blood stagnation/ heat T: purple yellow coat P: deep forceful rough
c. Xue Fu Zhu Yu Tang, Blood stagnation in the chest T: purple/spots side, yellow coat P: wiry tight rough
d. Gu Jing Wan

Front 14

Case Study #4
F/34 infertility for 8 years. Married 12 years with 3 miscarriages. After 1st miscarriage she has irregular periods with lower abd pain during menses. Pain worse with pressure improved with warmth. T: dusky (pale purple) with dry thin coat P: thin weak and deep
Herbs not in the formula Wen Jing Tang?
a. Mu Dan Pi / Sheng Di Huang
b. Dang Gui / E Jiao
c. Ban Xia / Sheng Jiang
d. Wu Zhu Yu / Gui Zhi

Back 14

a. Mu Dan Pi / Sheng Di Huang

Wen Jing Tang
Wu Zhu Yu, Chuan Xiong
Bai Shao,Gui Zhi
E Jiao, Dang Gui
Mai Men Dong
Mu Dan Pi, Ban Xia
Sheng Jiang, Ren Shen
Gan Cao

Front 15

Case Study #5
F/28 is 3 months pregnant and started having uterine bleeding yesterday with dark red blood. She has lower abd pain worse with pressure. She has a HX of uterine fibroids. T: dark red purplish spots on sides P: wiry and slippery
Diagnosis?
a. Blood retention in the lower jiao with heat
b. empty cold in the chong and ren channels
c. heat in the blood
d. Blood stagnation in the uterus

Back 15

d. Blood stagnation in the uterus

Front 16

Case Study #5
F/28 is 3 months pregnant and started having uterine bleeding yesterday with dark red blood. She has lower abd pain worse with pressure. She has a HX of uterine fibroids. T: dark red purplish spots on sides P: wiry and slippery
Best Formula?
a. Wen Jing Tang (Warm the Menses Dec.)
b. Gui Zhi Fu Ling Wan (Cinnamomum and Poria Pill)
c. Tao He Cheng Qi Tang (Prunus Order the Qi Dec.)
d. Gui Pi Tang (Restore the Splee Dec.)

Back 16

b. Gui Zhi Fu Ling Wan (Cinnamomum and Poria Pill)181, Blood stagnation in the uterus, the ONLY blood stagnation formula allowed during pregnancy

a. Wen Jing Tang,179, Chong and Ren empty cold with blood stagnation
c. Tao He Cheng Qi Tang,176,Lower Jiao heat and blood stagnation
d. Gui Pi Tang,145, SP and HT blood deficiency, chronic bleeding due to SP deficiency

Front 17

Case Study #5
F/28 is 3 months pregnant and started having uterine bleeding yesterday with dark red blood. She has lower abd pain worse with pressure. She has a HX of uterine fibroids. T: dark red purplish spots on sides P: wiry and slippery
herbs NOT in the formula Gui Zhi Fu Ling Wan?
a. Dan Gui
b. Mu Dan Pi
c. Tao Ren
d. Feng Mai

Back 17

a. Dan Gui
Gui Zhi Fu Ling Wan, Cinnamomum and Poria Pill
Gui Zhi, Fu Ling
Mu Dan Pi
Chi Shao Yao
Tao Ren, Feng Mai

Front 18

Case Study #6
F/48 with continuous menstruation for 10 days. High job stress for 2-3 months. Last month menses was early and lasted 10+ days. This month repeat scenario. The bleeding alternates light trickle to heavy flow that is bright/dark red with purple clots. She also has hot flashes, dry mouth, irritability, heat in the chest abd pain with yellowish urine.
Correct treatment plan?
a. strengthen the SP, nourish blood and
stop bleeding
b. clear heat from the blood and reduce blood stasis to stop bleeding
c. nourish Yin, clear heat and stop bleeding to treat metorrhagia
d. warm the channels and dispel cold, nourish the blood and stop bleeding

Back 18

c. nourish Yin, clear heat and stop bleeding to treat metorrhagia

Front 19

Case Study #6
F/48 with continuous menstruation for 10 days. High job stress for 2-3 months. Last month menses was early and lasted 10+ days. This month repeat scenario. The bleeding alternates light trickle to heavy flow that is bright/dark red with purple clots. She also has hot flashes, dry mouth, irritability, heat in the chest abd pain with yellowish urine.
Most likely Tongue and Pulse?
a. T: red, thin yellow dry coating P: wiry rapid thin
b. T:red, thin yellow coating P: rapid and floating
c. T:red, yellow greasy coating P:rapid and slippery
d. T:red, yellow coating P:rapid and full

Back 19

a. T: red, thin yellow dry coating P: wiry rapid thin

Front 20

Case Study #6
F/48 with continuous menstruation for 10 days. High job stress for 2-3 months. Last month menses was early and lasted 10+ days. This month repeat scenario. The bleeding alternates light trickle to heavy flow that is bright/dark red with purple clots. She also has hot flashes, dry mouth, irritability, heat in the chest abd pain with yellowish urine.
Best Formula?
a. Gu Jing Wan (Stablize the Menses)
b. Gui Pi Tang (Restore the Spleen Dec.)
c. Gui Zhi Fu Ling Wan (Cinnamomum and Poria Pill)
d. Wen Jing Tang (Warm the Menses Dec.)

Back 20

a. Gu Jing Wan (Stablize the Menses)
LV fire injuring the Chong and Ren, nourishes Yin clears empty heat, stabilize the menses ans stop bleeding
b. Gui Pi Tang, SP and HT blood deficiency, SP unable to contol the blood
c. Gui Zhi Fu Ling Wan, Blood stagnation in the lower warmer with masses and bleeding
d. Wen Jing Tang, Chong and Ren empty cold with blood stagnation

Front 21

Case Study #6
F/48 with continuous menstruation for 10 days. High job stress for 2-3 months. Last month menses was early and lasted 10+ days. This month repeat scenario. The bleeding alternates light trickle to heavy flow that is bright/dark red with purple clots. She also has hot flashes, dry mouth, irritability, heat in the chest abd pain with yellowish urine.
Herbs in the formula, Gu Jing Wan?
a. Long Gu / Bai Shao
b. Huang Bai / Qian Cao Gen
c. Huang Qi / Hunag Qin
d. Chun Gen Pi / Xiang Fu

Back 21

d. Chun Gen Pi / Xiang Fu

a. not (Long Gu) / Bai Shao
b. Huang Bai / not (Qian Cao Gen)
c. not (Huang Qi) / Huang Qin

Gu Jing Wan 202
Gui Ban

Bai Shao
Huang Qin
Chun Gen Pi
Huang Bai
Xiang Fu

Front 22

Case study #7
M/40 caught a cold last week (chills/fever/headache). No he complains of a cough with wheezing and rapid breathing. He also has congestion with thick yellow phlegm. He has chest oppression with tightness. T: red yellow greasy coating P: slippery and slightly floating
Diagnosis?
a. LU Qi and Yin deficiency
b. rebellion of LU Qi due to phlegm-damp obstruction
c. exterior syndrome with phlegm-heat
d. exterior syndrome with internal full heat

Back 22

c. exterior syndrome with phlegm-heat
red tongue with greasy yellow coating
pulse is slightly floating, slippery

Front 23

Case study #7
M/40 caught a cold last week (chills/fever/headache). No he complains of a cough with wheezing and rapid breathing. He also has congestion with thick yellow phlegm. He has chest oppression with tightness. T: red yellow greasy coating P: slippery and slightly floating
Best Formula?
a. Su Zi Jiang Qi Tang (Perilla Descend the Qi Dec.)
b. Ding Chuan Tang (Stop Wheezing Dec.)
c. Zhi Sou San (Stop Cough Powder)
d. Ma Xing Xie Gan Tang (Ephedra, Prunus, Gypsum and Glycyrrhiza Dec.)

Back 23

b. Ding Chuan Tang (Stop Wheezing Dec.)164, external cold with LU Qi rebellion

a. Su Zi Jiang Qi Tang,163, LU phlegm-damp and KD Yang def. with LU Qi rebellion, excess above deficiency below causing wheezing/cough T:pale, moist, greasy smooth white coating P: slippery weak
c. Zhi Sou San, 115, External wind phlegm causing cough T: normal thin white coat P: floating
d. Ma Xing Xie Gan Tang,50, LU heat with or without external wind-heat causing wheezing T: red tip or border thin white or yellow coating P:slippery rapid, floating if external wind-heat

Front 24

Case study #7
M/40 caught a cold last week (chills/fever/headache). Now he complains of a cough with wheezing and rapid breathing. He also has congestion with thick yellow phlegm. He has chest oppression with tightness. T: red yellow greasy coating P: slippery and slightly floating
Herbs NOT in the formula Ding Chuan Tang?
a. Yin Xing (Bai Gao)/ Ban Xia
b. Zi Su Ye/ Xing Ren
c. Huang Qin/ Gan Cao
d. Sang Bai Pi/ Kuan Dong Hua

Back 24

b. Zi Su Ye/ Xing Ren neither of them are in the formula

Ding Chuan Tang
Ma Huang, Zi Su Zi
Xing Ren, Ban Xia
Kuan Dong Hua, Sang Bai Pi
Huang Qin, Gan Cao

Front 25

Case study #8
F/44 complains of hiccups and nausea that have been going on for over 1 month. Symptoms started after hysterectomy 6 weeks ago. Symptoms are worse after eating spicy food and improve with drinking water. T: red with scanty coating P: rapid and weak
Diagnosis?
a. Stomach deficiency with heat
b. Stomach deficiency with cold
c. LV Qi overacting on the Stomach
d. Blood and Qi stagnation

Back 25

a. Stomach deficiency with heat

Front 26

Case study #8
F/44 complains of hiccups and nausea that have been going on for over 1 month. Symptoms started after hysterectomy 6 weeks ago. Symptoms are worse after eating spicy food and improve with drinking water. T: red with scanty coating P: rapid and weak
Best Formula?
a. Xue Fu Zhu Yu Tang (Blood Mansion Eliminate Stasis Dec.)
b. Xaio Yao San (Easy Wanderer Powder)
c. Yu Ju Wan (Escape Restraint Pill)
d. Ju Pi Zhu Ru Tang (Citrus and Phyllostachys Dec.)

Back 26

d. Ju Pi Zhu Ru Tang (Citrus and Phyllostachys Dec.) 166, ST heat and middle jiao deficiency causing ST Qi rebellion

a. Xue Fu Zhu Yu Tang,177, Blood stagnation in the chest T: purple/spots on side, yellow coating P:wiry,tight,rough
b. Xaio Yao San,80, LV Qi stagnation with SP blood deficiency T: dusky tin white coat P: wiry weak
c. Yu Ju Wan,160, Stagnation of Qi, blood, phlegm,food,fire,damp T: dusky, purple or red with white or yellow greasy coating P: wiry, slippery possibly rapid

Front 27

Case study #8
F/44 complains of hiccups and nausea that have been going on for over 1 month. Symptoms started after hysterectomy 6 weeks ago. Symptoms are worse after eating spicy food and improve with drinking water. T: red with scanty coating P: rapid and weak
Herbs that ARE in the formula Ju Pi Zhu Ru Tang?
a. Ding Xiang / Sheng Jiang
b. Bing Lang / Ren Shen
c. Xaing Fu / Ban Xia
d. Zhu Ru / Gan Cao

Back 27

Ju Pi Zhu Ru Tang

Ju Pi (Chen Pi)
Zhu Ru
Sheng Jiang, Ren Shen
Gan Cao, Da Zao

Front 28

Case Study #9
M/36 has chronic cholecystitis for over 3 years. Symptoms include pain in the right hypochondrium, sour belching, nausea, distension and oppression in the chest and abd. The symptoms are worse when eating oily foods. T: red, greasy yellow coating P: wiry, slippery
Correct treatment?
a. Circulate the Qi and remove stagnation
b. descend the Qi and expel phlegm
c. clear heat and reduce food stagnation
d. warm the middle and resolve phlegm

Back 28

a. Circulate the Qi and remove stagnation

Front 29

Case Study #9
M/36 has chronic cholecystitis for over 3 years. Symptoms include pain in the right hypochondrium, sour belching, nausea, distension and oppression in the chest and abd. The symptoms are worse when eating oily foods. T: red, greasy yellow coating P: wiry, slippery
Best formula?
a. Ban Xia Hou Tang (Pinellia and Magnolia Dec,)
b. Yue Ju Wan (Escape Restraint Pill)
c. Ju Pi Zhu Ru Tang (Citrus and Phyllostachys Dec.)
d. Wen Dan Tang (Warm the Gallbladder Dec.)

Back 29

b. Yue Ju Wan (Escape Restraint Pill)160, Stagnation of Qi, Blood, fire, phlegm, food, damp

a. Ban Xia Hou Tang, 161, Qi and phlegm obstruction in the chest causing pain T: thick white greasy coating P: deep wiry or rough
c. Ju Pi Zhu Ru Tang,166, ST heat and middle jiao deficiency causing ST Qi rebellion T: dry red with yellow coating P: weak, rapid
d. Wen Dan Tang,111, Gallbladder and Stomach disharmony with phlegm-heat T: red. greasy yellow coating P: slippery and rapid or wiry

Front 30

Case Study #9
M/36 has chronic cholecystitis for over 3 years. Symptoms include pain in the right hypochondrium, sour belching, nausea, distension and oppression in the chest and abd. The symptoms are worse when eating oily foods. T: red, greasy yellow coating P: wiry, slippery
Herbs NOT in Yue Ju Wan?
a. Xiang Fu
b. Shan Zhi Zi
c. Shen Qu
d. Ban Xia

Back 30

d. Ban Xia is not in the formula

Yue Ju Wan 160
Xiang Fu, Chuan Xiong
Cang Zhu, Shen Qu
Shan Zhi Zi

Front 31

Case study #10
F/68 diagnosed with emphysema five years ago. She complains of shortness of breath, wheezing with much watery sputum and a heavy tight feeling in the chest. Her legs often feel weak and her ankle are swollen.
TCM diagnosis?
a. heat-phlegm in the LU with external wind-cold
b. external wind-cold with internal heat
c. LU Qi stagnation and LU Qi deficiency
d. phlegm-damp stagnation in the LU with KD Qi deficiency.

Back 31

d. phlegm-damp stagnation in the LU with KD Qi deficiency.

Front 32

Case study #10
F/68 diagnosed with emphysema five years ago. She complains of shortness of breath, wheezing with copious watery sputum and a heavy tight feeling in the chest. Her legs often feel weak and her ankles are swollen.
What would the tongue and pulse be?
a. T: red, greasy yellow coating P: rapid and slippery
b. T: greasy white coating P: weak and slippery
c. T: pale with moist coating P: deep and slow
d. T: purple with thin coating P: rough and wiry

Back 32

b. T: greasy white coating P: weak and slippery

a= damp and heat no heat signs
c= Yang deficiency signs this is Qi deficiency
d= blood stagnation, no signs

Front 33

Case study #10
F/68 diagnosed with emphysema five years ago. She complains of shortness of breath, wheezing with much watery sputum and a heavy tight feeling in the chest. Her legs often feel weak and her ankle are swollen.
Best Formula?
a. Ding Chuan Tang (Stop Wheezing Dec.)
b. Su Zi Jiang Qi Tang (Perilla Descend the Qi Dec.)
c. Ma Xing Shi Gan Tang (Ephedre, Prunus, Gypsum and Glycyrhhiza Dec.)
d. Ju Pi Zhu Ru Tang (Citrus and Phyllostachys Dec.)

Back 33

b. Su Zi Jiang Qi Tang (Perilla Descend the Qi Dec.) LU phlegm damp and KD Yang def. with LU Qi rebellion, excess above with deficeincy below causing wheezing or cough

a. Ding Chuan Tang, LU phlegm-heat and external wind-cold with LU Qi rebellion T: red, greasy yellow coating P: slippery, rapid or slight floating
c. Ma Xing Shi Gan Tang, LU heat with or without external wind-heat causing wheezing T: red tip and border thin white or yellow coating P: slippery rapid, floating if external wind-heat
d. Ju Pi Zhu Ru Tang, ST heat with middle jiao def. causing ST Qi rebellion

Front 34

Case study #10
F/68 diagnosed with emphysema five years ago. She complains of shortness of breath, wheezing with much watery sputum and a heavy tight feeling in the chest. Her legs often feel weak and her ankle are swollen.
Which herbs ARE part of the Formula Su Zi Jiang Qi Tang?
a. Rou Gui / Dang Gui
b. Sang Bai Pi / Huang Qin
c. Ma Huang / Yin Xing (Goa Ben)
d. Gui Zhi / Xing Ren

Back 34

a. Rou Gui / Dang Gui

b. no Sang Bai Pi / no Huang Qin
c. no Ma Huang / no Yin Xing (Goa Ben)
d. no Gui Zhi / no Xing Ren

Su Zi Jiang Qi Tang
Zi SU Zi,Ban Xia
Hou Po, Qian Hu
Zi Su Ye, Sheng Jiang
Rou Gui
Dang Gui, Zhi Gan Cao
Da Zao

Front 35

Case study #11
M/60 diagnosed with chronic congestive heart failure. Symptoms include chest pain, shortness of breath, worse after exertion, cough with scanty sputum difficult to expectorate and spontaneous night sweats. T: dusky (pale purple) thin dry coating P: feeble and thin
Diagnosis?
a. LU Yin deficiency
b. LU Qi deficiency
c. KD Yin deficiency
d. LU Qi and Yin deficiency

Back 35

d. LU Qi and Yin deficiency

Front 36

Case study #11
M/60 diagnosed with chronic congestive heart failure. Symptoms include chest pain, shortness of breath, worse after exertion, cough with scanty sputum difficult to expectorate and spontaneous night sweats. T: dusky (pale purple) thin dry coating P: feeble and thin
treatment plan?
a. tonify the Qi, warm the Yang and invigorate the Blood
b. tonify Qi, nourish Yin and invigorate Blood
c. nourish Yin, tonify Yang and invigorate Blood
d. invigorate the Blood reduce stagnation

Back 36

b. tonify Qi, nourish Yin and invigorate Blood