Course: s Rev. Date: Sep 4 2010 Doc: Test 1 study guide (Test Class 5) Prof: Dr. Liu General Questions What is the classic and first milestone volume in Chinese medicine for patent formulas? Tai Ping Hui Min He Ji Ju Fang Define the following Chinese San Chong Ji Jiao Nang Wan Pian Gao Shuan Jing/Yin Kou fu ye You/Cha ji English Powder Granule(s) Capsule Pill Tablet Thick syrup or paste applied topically Suppository Tincture Syrupy liquid extracts Liniment What does GMP stand for in relation to Chinese patent formulas? Good Manufacturing Practices What release exterior wind/cold herb should never be used for patients who have hypertension? Ma Huang What herbs should be taken on an empty stomach/before meals? 1. Tonic herbs 2. Herbs to improve the appetite 3. Herbs to remove phlegm Page 1 of 8
s to Release the Exterior Wind/Cold Chuan Xiong Cha Tiao San Ge Gen Wan Clinical Indication/To Know Acute or chronic headaches due to a WC invasion. Shaoyang/Jueyin headache (Chuan Xiong) Taiyang headache (Qiang Huo) Yangming headache (Bai Zhi) Stiff upper back and/or neck with a headache Due to Taiyang WC invasion Note: may have ma huang, inappropriate for patient that is sweating (without expelling pathogen) or for hypertension patients. Jing Fang Bai Du San Ren Shen Bai Du San Sang Ju Yin Wan Taiyang stage WCD + body soreness, pain, aches. + clear nasal discharge No sweating WDC invasion + underlying deficiency. s to Release the Exterior Wind/Heat Acute mild WH invasion + dry cough (pathogen could be moving from wei qi level) Key: W=wind D=damp C=cold H=heat Ph=phlegm UJ = upper jiao MJ = middle LJ = lower Yin Qiao San/Pian WH invasion + Acute sore throat Swollen lymph glands Toxic heat and fever Take a the first sign of a tickle in the throat. Gan Mao Dan Early stage common cold or flu due to wind heat toxin with: Sore throat and cough (before the phlegmy stage) This is a combination of Yin Qiao San and Sang Ju yin, but is stronger than either alone. Treats the wind heat with cold pungent herbs. Common cold usually progresses to phlegm then affects the lung and digestive process. Page 2 of 8
Gan Mao Ling Taiyang and Shaoyang stages of pathogenic W with: Alternating fever/chills, stiffness of upper back and neck Viral pneumonia Stronger than Gan Mao Dan Gan Mao Tui Re Chong Ji Xi Ling Jie Du Pian Fever or acute URTI (upper respiratory tract infection) Due to WH/Taiyang stage common cold/flu. WH at the Qi level moving to Blood level with: Sore throat with red tonsil glands High fever Treats wind/heat, detoxes, is an anti-inflammatory, targets the throat. Is a modification of Yin Qiao San. Zhong Gan Ling Yangming or Qi level heat. Has a burning sensation inside w/ all heat sx in UJ Pathogens might be moving to Shaoyang stage with aching neck, shoulders plus high fever Anti-inflammatory, anti-toxin Summer Heat s Wu Shi Cha Huo Xiang Zheng Qi Wan W/C syndrome Flu, common cold w/ usual signs of this plus turbid damp digestive symptoms such as food stagnation, diarrhea, vomiting WC + Summer D and middle jiao excess. (stomach flu type stuff in summer n/v/d + w/c signs) Other stomach n/v problems Food poisoning and Traveler s diarrhea also. Damp signs are greater then wind/cold signs. Shen Qu Cha Curing Wan (Kang Ning Wan) Food/MJ stagnation and digestive problems due to poor adjustment to traveling or moving MJ stagnation and acute food stagnation Dispels dampness Page 3 of 8
Nasal Allergies Cang Er Zi Wan Xin Yi Wan Five Sense Organ Disorder s Clogged nasal passages, sinusitis, rhinitis Due to external W Watery/white nasal discharge Due to external W/C Contains Bai Zhi. Bi Yan Pian Allergies/nasal congestion Due to external W/H For superficial congestion. Bi Yuan Pian Acute or chronic rhinitis, sinusitis, nasal congestion Due to external W/H Deeper congestion + sinus pressure. For more of what bi yan pian treats more phlegm that is sticker, deeper into the sinuses, etc. Pe Min Kan Wan/ Bi Min Gan Wan Yu Ping Feng jia Cang Er Zi San Throat Disorders Qing Yin Wan Allergies and nasal sx (rhinitis, sinusitis, nasal congestion, etc.) Due to W/D/H Wei qi xu + nasal symptoms (acute or chron) Good for Austin allergies. Hoarse/raspy voice or loss of voice Following URTI, overuse, smoking. Nourishes yin, moistens throat. heat @ throat/lung, -pain. Focus more on dry than following formula. Xuan Mai Gan Jie Chong Ji Jin Sang Zi Pian Hoarse/raspy voice or loss of voice Following URTI, overuse, smoking. Nourishes yin, moistens throat. heat, -pain. Hoarse or dry throat Also, chronic xu cough. Yin xu + heat. Page 4 of 8
Shuang Liao Hou Feng San Painful, swollen sore throat (topical) Heat toxins in the throat Sore throat, tonsillitis, etc. Also works for heat stuff on other areas as a topical. Fu Fang Xi Gua Shuang Ear Disorders Er Long Zuo Zhi Wan Acute sore throat/mouth, laryngitis (topical) Heat toxins in the throat and/or mouth. Hearing problems, chronic tinnitus Due to Kidney yin xu Based on Liu Wei Di Huang Wan. Tinnitus is high pitched, worse with fatigue. Er Yan Ling Oil Eye Disorders Qi Ju Di Huang Wan Acute ear infections Viral or bacterial (heat toxins) Eye problems Due to Lv/Ki yin xu. Weakness, strain, discomfort, blurry vision, excessive tearing and sensitivity to light Based on Liu Wei Di Huang Wan Ming Mu Di Huang Wan Chronic eye disorders Due to Lv/Ki yin xu + Lv blood xu (which causes the Yang to rise.) Weak vision, floaters, chron sore dry irrit eyes, etc. Based on Liu Wei Di Huang Wan Ming Mu Shang Qing Pian Shi Hu Ye Guang Wan Acute eye disorders Due to WH in the Lv organ/channel and/or Lv yang rising. Acute UTI/lin syndrome Due to H or DH Lin syndrome or to Ht fire invading SI channel. Eye disorders Due to Lv yin xu + Lv yang rising or heat Failing vision, photophobia, pressure in/behind eyes, dry/red/irritated Page 5 of 8
Clear Heat s Huang Lian Shang Qing Wan UJ (upper jiao), upper body infections Anti-inflammatory, also treats headaches Niu Huang Jie Du Pian Constipation Due to toxic D/H in stomach/intestines Excess fire in the UJ Due to febrile disease/wen bing. Also clears heat and fire/high fever in the whole body Use only with excess fire. UJ UJ Dao Chi Pian Heart heat/fire SI channel Ht fire = mouth sores, SI = urinary heat problems Promotes urination and frees stool to clear H out of the body Fang Feng Tong Sheng San DH in LJ Includes UTI, constipation d/t heat, etc. Excess heat (interior or exterior) in all Jiaos Also: eye disorders, constipation due to heat LJ All jiaos Chuan Xin Lian Fu Fang Nan Ban Lan Gen Chong Ji Anti-viral, -bacterial and -inflammatory Acute DH toxins/infections @ blood, lymph, or organ level Tonsillitis, hep, herpes simplex/zoster, gastroenteritis, etc. Anti-viral, -bacterial, -inflammatory, -endotoxin Clears heat/relieves toxins and strengthens the immune system. Can treat herpes simplex, pink eye, pharyngitis. Kan Bin Du Ke Li Anti-viral Viral URTI/viral flu. Clears heat/relieves toxins. Page 6 of 8
Tonic s Qi Tonics Yu Ping Feng San Bu Fei Tang/Wan Bu Zhong Yi Qi Wan Wei qi xu + spontaneous sweating and easily catching colds. Tonifies Qi, harmonizes Wei Qi (which helps prevent allergic reactions/seasonal allergies) Lung Qi xu Used interchangeably with Li Fei Wan, other patents for Lung Qi xu. Spleen Qi xu/spleen Qi sinking + organ prolapse Sheng ma and chai hu are the raising herbs in this formula. Shen Ling Bai Zhu San (Ren Shen) Yang Ying Wan Yang Tonics You Gui Wan Jin Gui Shen Qi Wan Spleen qi xu + GI disorders in MJ and/or LJ Sp and Ht Qi xu Poor digestive function + Shen restlessness Insom, palps, poor mem/concen, spon sweating, etc. Kidney yang xu and Ming Men fire xu Supportive of Yin while tonifying Yang Kidney yang xu With xu cold in kidney Supportive Yin while tonifying Yang Contains 3g of rou gui and 3 g of fu zi to build a small fire which builds qi. A larger fire would damage qi. Blood Tonics Si Wu Tang Dang Gui Wan Blood deficiency - fundamental formula Also fundamental for regulating menstruation (by regulating blood, chong and ren channels.) Good basic formula that can be modified for both gyno and non-gyno blood problems. Blood and Sp xu Page 7 of 8
Shou Wu Pian Qi/Blood and Qi/Yin Tonics Ren Shen Shou Wu Wan Ba Zhen Wan Women s 8 precious pill Hair disorders (greying or losing hair) Which is caused by blood xu Chronic Qi and blood xu Nourishes sinews/bones, improves vitality, menstruation, mental clarity. Qi and Blood xu Treats a wide variety of gyno and non-gyno disorders Combination of Si wu tang + Si jun zi tang Gui Pi Tang/Wan Sheng Mai San Yin Tonics Liu Wei Di Huang Wan Sp Qi and Ht blood xu Heart shen disorders and gynecological disorders PRAID (palps, restlessness, anxiety, insomnia, dream disturbed sleep) + gyno disorders like dysfunctional uterine bleeding leaking, excessive bleeding, etc. Qi and Yin xu Palps and SOB. Lv/Ki yin xu Resulting dryness/heat symptoms. Also weak lower back/knees, dizziness, tinnitus, insomnia, night sweats, anxiety, fatigue, etc. Modern use for diabetes, nephritis, hyperthyroid, tumors, cancer. Used to counter poisons in system after chemotherapy Da Bu Yin Wan Ki/Lv yin xu with xu fire flaring upwards Targets heat signs more than the previous formula. Night sweats, hot flashes, 5palm heat, then palps, insomnia, anxiety, lower back pain, etc. Page 8 of 8