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40 terms

PCOM: Herbs that relieve food stagnation, cool and transform phlegm-heat; warm and transform cold-phlegm; relieve cough and wheeze; stop bleeding

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what food stagnation is
the SP/ST can not handle the type or amount of food ingested
S&S of food stagnation
fullness and distention; belching, nausea, vomiting, possible diarrhea or constipation, aversion to food
distinguishing food stagnation from hot-phlegm in the middle jiao
aversion to food in food stagnation
causes of food stagnation
overeating; emotions (attack the spleen); Sp/ST xu; wind-cold attack (contraction of the muscles of the abdomen)
Tx principle for mild food stagnation (food damage)
dissolve the stuck food and conduct it through the digestive system
Tx principle for severe food stagnation (GI tract accumulation)
purgatives
general characteristics of herbs in the relieve food stagnation category
sweet (Tf Sp); warm (also Tf)
organs that herbs that relieve food stagnation generally enter
SP/ST - Tf Sp/ST; promote digestion; relieve abdominal fullness and distention; relieve food stagnation
S&S of hot food stagnation
bad breath; prefers cold drinks and foods; thick, yellow, greasy tongue coating
Tx principle for hot food stagnation
herbs that relieve stagnation and herbs that will clear heat
S&S of cold food stagnation
regurgitation of clear fluids; salty taste in the throat; craves warm foods and drink; thick, white greasy coating on the tongue - all centered around the middle jiao
TX principle for cold food stagnation
herbs that relieve food stagnation and herbs that regulate qi in the middle jiao
distinguishing between food stagnation and damp-heat
there will be damp accumulation in food stagnation anyhow, so add aromatics that treat the dampness
specific nature of herbs in this category
often have a "specialty" - treat a specific type of food; i.e. Shan Zha treats greasy and meaty foods
determining quality of Shen Zha
red/brown surface; very fleshy pulp; found in northern China; northern are considered better than southern due to more sour taste
difference between phlegm and thin mucus
thin mucus comes from water; phlegm generally comes from damp (it can come from water at times)
causes of phlegm (5)
spleen xu; dampness with heat, becoming more viscous and transforming into phlegm; damp with cold congealing into phlegm; Liv qi zhi leads to wood overacting on earth (liver over-controls spleen), leading to spleen xu; kidney xu leads to excess water in the body which slows down and congeals into phlegm
phlegm as the root or branch of disease
phlegm is the branch; the root could be the kidneys or spleen
expression about phlegm as a cause of disease
phlegm is the mother of a hundred diseases
characteristics of herbs in the cool & Transform phlegm-heat category
generally cold in nature; used to treat phlegm heat and dry phlegm (yin xu phlegm) - expectorants (mucus thinners), anti-tussins, anti-inflammatories and tend to be sedatives
caution for use of herbs that are cool & transform phlegm
DNU for long periods as they consume qi; one must always consider preserving qi
distinctive minor function of Qian Hu
can mildly release the exterior
general characteristics of herbs that are warm & transform Phlegm-heat
generally warm, strong in nature and preparation is extremely important to reduce toxicities
general Tx principles of herbs that are warm & transform Phlegm-heat
warm the lungs, dry damp, dissolve phlegm and dispel cold
S&S of cold phlegm
clear white discharge/phlegm, tightness in the chest, aversion to cold, weak limbs, dyspnea
determining quality of Zhi Ban Xia
large, brown and yellow with a powdery texture on top
conditions Zhi Ban Xia is particularly good at treating
plum pit qi and morning sickness in the 1st and last terms of pregnancy (some texts say zhi ban xia can cause misscarriage)
herb added to zhi ban xia to relieve its toxicity
ginger
general principles of herbs that relieve cough and wheezing
treat the branch, not the root; should be combined with herbs that treat the root cause
general ways in which herbs that relieve cough and wheezing treat the lungs
ventilate the lungs to dispel phlegm, moisten the lung o relieve dry cough; subdue rebellious qi; relieve coughing and wheezing
general external causes of cough
wind-cold, wind-heat, wind-dry
general internal causes of cough
phlegm-damp in the lung (obstructs the normal flow of qi); phlegm heat int the lung (weakens the lung); liver fire insults lung (wood insults metal causing rebellious lung qi); qi and yin xu
over dose level of xing ren in children
10-20 seeds
overdose level of xing ren in an adult
40-60 seeds
potentially lethal dose of xing ren
50-120 seeds
general Tx principles of herbs that stop bleeding
generally not used alone; Tx must include discovering the root cause and treating that too
4 causes of bleeding
heat leading to reckless xue; qi xu (cannot restrain the xue in the vessels; stasis (blockage creates blood to flow out of vessels); trauma
determining quality of san qi
large, full and heavy, sold roots; bronze/green/brown surface with black and brown structures in it
biomedical functions of san qi
increases platelets (clotting) and expands coronary arteries (reduces blockages and bleeds from pressure)
how san qi is used topically
for external bleeding