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CHM COMP- Formulas PART 2 Questions With Complete Solutions Name the pattern: Long-standing cold hands and feet that are both cold to the touch and feel very cold to the patient. Also, other pain conditions worse with exposure to cold and with underlying blood deficiency. Tongue: pale with a white coating Pulse: thin or one that is so thin that it is almost imperceptible (Cold hands and feet up to the wrists and ankles) Cold invading the channels with underlying LV blood deficiency What formula would you use for the following: Long-standing cold hands and feet that are both cold to the touch and feel very cold to the patient. Also, other pain conditions worse with exposure to cold and with underlying blood deficiency. Tongue: pale with a white coating Pulse: thin or one that is so thin that it is almost imperceptible
(Cold hands and feet up to the wrists and ankles) Dang Gui Si Ni Tang *** Dang Gui Decoction for Frigid Extremities What are the Chief, Deputy herbs in Dang Gui Si Ni Tang? CHIEF Dang Gui Gui Zhi DEPUTY Bai Shao Xi XIn What formula would you use for the following pattern: For Spleen yang deficiency presenting with:
- watery diarrhea and abdominal pain, N&V, no particular thirst, loss of appetite. tongue: pale with a white coating pulse: submerged, thin
- bleeding such as nose bleeds, vomiting of blood, excessive menstrual bleeding, bleeding from the rectum, and various types of internal bleeding. In all cases, the blood is pale and the bleeding is accompanied by cold extremities, a wan complexion and other MW cold symptoms. Tongue: pale. Pulse: frail.
Cold in the ST/SP, LV and/or KD What formula would you use for the following pattern: 1.Vomiting immediately after eating, indeterminate gnawing hunger, and acid reflux with or without epigastric pain (ST/SP) 2.Vertex headache with dry heaves or spitting of clear fluids (LV) 3.Vomiting and diarrhea with cold hands and feet, and agitation so severe that the patient wants to die. (KD) Wu Zhu Yu Tang*** Evodia Decoction What are the Chief, Deputy, Asst and Envoy herbs in Wu Zhu Yu Tang?(whole formula) CHIEF Wu Zhu Yu DEPUTY Sheng Jiang ASST Ren Shen
ENVOY
Da Zao Name the pattern: Intermittent, spasmodic abdominal pain that responds favorably to local application of warmth and pressure, a lusterless complexion, reduced appetite, *hard, tight epigastric area. There may also be low-grade fever, palpitations, irritability, cold and sore extremities with non-specific discomfort, and a dry mouth and throat. Tongue: pale with a white coating Pulse: thin, wiry moderate SP yang deficiency dryness with LV blood deficiency What formula would you use for the following pattern? Intermittent, spasmodic abdominal pain that responds favorably to local application of warmth and pressure, a lusterless complexion, reduced appetite, *hard, tight epigastric area. There may also be low-grade fever, palpitations, irritability, cold and sore extremities with non-specific discomfort, and a dry mouth and throat. Tongue: pale with a white coating Pulse: thin, wiry moderate
Extremely cold extremities, aversion to cold, curling up when lying down, Lethargy with a constant desire to sleep, vomiting, diarrhea with undigested food particles, abdominal pain and cold, lack of thirst May also have floating yang with symptoms such as flushing, dry throat Tongue: pale with a white, slippery tongue coat Pulse: submerged and **thin or faint Si Ni Tang***** , Frigid Extremities Decoction What are the Chief, Deputy and Asst herbs in Si Ni Tang? (whole formula) CHIEF Zhi Fu Zi Deputy Gan Jiang ASST Zhi Gan Cao Name the pattern: Alternating fever and chills, bitter taste in the mouth, irritability,
sensation of fullness in the chest and hypochondria (with or without pain), hard focal distention or fullness and pain in the epigastrium, heartburn, nausea, continuous vomiting, melancholy, burning diarrhea or no bowel movements. Tongue: yellow tc Pulse: wiry, forceful This is a Shao Yang Yang Ming block Concurrent lesser yang and yang brightness disorder What formula would you use to treat the following pattern: Alternating fever and chills, bitter taste in the mouth, irritability, sensation of fullness in the chest and hypochondria (with or without pain), hard focal distention or fullness and pain in the epigastrium, heartburn, nausea, continuous vomiting, melancholy, burning diarrhea or no bowel movements. Tongue: yellow tc Pulse: wiry, forceful Da Chai Hu Tang*** Major Bupleurum Decoction What are the Chief and Deputy herbs in Da Chai Hu Tang?
Si Jun Zi Tang*** Four Gentleman Decoction What are the chief, deputy, asst and envoy herbs in Si Jun Zi Tang? (whole formula) CHIEF Ren Shen DEPUTY Bai Zhu ASST Fu Ling ENVOY Zhi Gan Cao Name the pattern: Dizziness, unsteadiness, impaired or unclear vision, deafness, tinnitus, shortness of breath, laconic speech, a weak voice, a shiny, pale complexion, reduced intake of food, loose stools Intermittent fever that worsens upon exertion, spontaneous sweating, aversion to cold, a thirst for warm beverages, Sinking middle qi characterized by hemorrhoids, rectal or uterine prolapse or prolapse of internal organs, chronic diarrhea or dysentery, irregular uterine bleeding
Tongue: pale, maybe swollen Pulse: frail, forceless Spleen qi deficiency with sinking qi What formula would you give for the following pattern? Dizziness, unsteadiness, impaired or unclear vision, deafness, tinnitus, shortness of breath, laconic speech, a weak voice, a shiny, pale complexion, reduced intake of food, loose stools Intermittent fever that worsens upon exertion, spontaneous sweating, aversion to cold, a thirst for warm beverages, Sinking middle qi characterized by hemorrhoids, rectal or uterine prolapse or prolapse of internal organs, chronic diarrhea or dysentery, irregular uterine bleeding Tongue: pale, maybe swollen Pulse: frail, forceless Bu Zhong Yi Qi Tang*** Tonify the Middle to Augment the Qi Decoction What are the chief and deputy herbs in Bu Zhong Yi Qi Tang? CHIEF Huang Qi DEPUTY Ren Shen
DEPUTY
Bai Zhu ASST Fang Feng Name the pattern: Chronic cough with sparse sputum that is difficult to expectorate, shortness of breath, spontaneous sweating, a dry mouth and tongue. Tongue - pale red with a thin, dry coating Pulse: deficient rapid or deficient thin (palpitations with a stifling sensation in the chest, shortness of breath, sweating, a dry mouth and thirst, poor sleep, pale, red and dry tongue and an irregular pulse.) Concurrent deficiency of qi and yin, primarily of the LU What herbs would you give for the following pattern? Chronic cough with sparse sputum that is difficult to expectorate, shortness of breath, spontaneous sweating, a dry mouth and tongue. Tongue - pale red with a thin, dry coating Pulse: deficient rapid or deficient thin (palpitations with a stifling sensation in the chest, shortness of
breath, sweating, a dry mouth and thirst, poor sleep, pale, red and dry tongue and an irregular pulse.) Sheng Mai San*** Generate the Pulse Powder What are the chief, deputy and asst (whole formula) herbs in Shen Mai San? CHIEF Ren Shen DEPUTY Mai Men Dong ASST Wu Wei Zi Name the pattern: Dizziness, blurred vision, lusterless complexion and nails, generalized muscle tension, insomnia, palpitations, a thin body lacking strength, irregular menstruation with little flow or amenorrhea, periumbilical and lower abdominal pain. (Also used for menorrhagia, hard abdominal masses with recurrent pain, restless fetus disorder, or lochioschesis with a firm and painful abdomen and sporadic fever and chills.)
Forgetfulness, palpitations (with or without anxiety), insomnia, dream-disturbed sleep, anxiety and phobia, feverishness, withdrawal, reduced appetite, a pallid and wan complexion There may also be chronic bleeding syndromes like early periods with copious, pale blood or prolonged, almost continuous periods with little flow Tongue: pale with a thin, white coating Pulse: thin and frail Concurrent deficiency of the SP and HT qi and blood What formula would you give for the following pattern? Forgetfulness, palpitations (with or without anxiety), insomnia, dream-disturbed sleep, anxiety and phobia, feverishness, withdrawal, reduced appetite, a pallid and wan complexion There may also be chronic bleeding syndromes like early periods with copious, pale blood or prolonged, almost continuous periods with little flow Tongue: pale with a thin, white coating Pulse: thin and frail Gui Pi Tang*** Restore the Spleen Decoction What are the Chief and Deputy herbs in Gui Pi Tang?
CHIEF
Ren Shen Huang Qi Bai Zhu Zhi Gan Cao DEPUTY Long Yan Rou Dang Gui Suan Zao Ren Fu Shen Zhi Yuan Zhi Name the pattern:
- Undernourished HT: with Palpitations that may be accompanied by: anxiety, irritability, insomnia, emaciation, shortness of breath, constipation, a dry mouth and throat Tongue: pale, shiny Pulse: consistently irregular, slow-irregular, or thin, faint, and forceless
- Lung atrophy due to consumption: with coughing of frothy sputum or blood-streaked sputum that may be accompanied by emaciation, shortness of breath, irritability, insomnia, spontaneous sweating or night sweats, a dry throat and tongue,
DEPUTY
Sheng Di Huang Name the pattern: Soreness and weakness in the lower back, lightheadedness, Vertigo, tinnitus, diminished hearing, night sweats, spontaneous and nocturnal emissions Tongue; red with little coating Pulse: rapid and thin LV and KD Yin Deficiency What formula would you give for the following pattern? Soreness and weakness in the lower back, lightheadedness, Vertigo, tinnitus, diminished hearing, night sweats, spontaneous and nocturnal emissions Tongue; red with little coating Pulse: rapid and thin Liu Wei Di Huang Wan*** Six-Ingredient Pill with Rehmannia What are the chief, deputy and asst herbs (whole formula) in Liu Wei Di Huang Wan?
CHIEF
Shu Di Huang DEPUTY Shan Zhu Yu Shan Yao ASST Fu Ling Mu Dan Pi Ze Xie Name the pattern: Lightheadedness, vertigo, tinnitus, soreness and weakness in the lower back and legs, spontaneous and nocturnal emissions, spontaneous and night sweats, dry mouth and throat, thirst Tongue: red and shiny Pulse: thin and rapid KD yin deficiency with essence and marrow depleted What formula would you give for the following pattern? Lightheadedness, vertigo, tinnitus, soreness and weakness in the lower back and legs, spontaneous and nocturnal emissions, spontaneous and night sweats, dry mouth and throat, thirst
