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NESA-IM1-Cold/Cough

QuestionAnswer
Major etiologies & pathologies for the Common Cold? 1. Wind Evil Qi 2. Epidemic Pestilential Evil Qi 3. Internal Causes
General principles of tx for Excess Patterns? 1. SWEAT (diaphoresis) 2. EXPEL (external evil qi) 3. DISSEMINATE (LU qi) 4. REGULATE / FACILITATE (ying & wei qi)
General principles of tx for Exterior d/o with deficiency patterns? 1. DISPERSE (evil qi) 2. DISSEMINATE (LU qi) 3. RELEASE (the exterior) 4. TONIFY (the deficiency in the interior)
What should you avoid/not do with formulas for the Common Cold? 1. Avoid excessive diaphoresis 2. Don't abuse tonic herbs 3. Don't over-cook the herbs that release the exterior
What should you know to prescribe formulas for the Common Cold? 1. How to take the decoction in order to help induce sweat 2. How to deal with cases where neither heat nor cold is prevalent 3. How to treat epidemic cold (may refer to tx for Warm or Febrile dz caused by Cold)
Common Cold - Excess Patterns: 1. Wind-Cold 2. Wind-Heat 3. Wind-Dryness 4. Summerheat -Dampness 5. Exterior Wind-Cold with Interior Heat
Common Cold - Exterior Disorders w/Deficiency Patterns: (Exterior with) 1. ...Qi Deficiency 2. ...Yang Deficiency 3. ...Blood Deficiency 4. ...Yin Deficiency
Common Cold - Formula for Wind-Cold: Jing Fang Bai Du San (Schizonepeta & Ledebouriella Powder to Overcome Pathogenic Influences)
Tx principles for Jing Fang Bai Du San? 1. Dispel wind 2. Dissipate cold 3. Resolve the exterior
Common Cold - Formulas for Wind-Heat: 1. Yin Qiao San (Honeysuckle & Forsythia Powder) OR 2. Sang Ju Yin (Mulberry Leaf and Chrysanthemum Decoction)
Tx principles for Yin Qiao San or Sang Ju Yin? 1. Disperse wind 2. Clear heat 3. Resolve the exterior
Common Cold - Formulas for Wind-Dryness: Cool-dryness: Xing Su San (Apricot Kernel and Perilla Leaf Powder)
Tx principles for Xing Su San? 1. Disperse cool-dryness 2. Disseminate LU qi
Common Cold - Formula for Summerheat-Dampness: Xin Jia Xiang Ru Yin (Newly-Augmented Elsholtzia Decoction)
Tx principles for Xin Jia Xiang Ru Yin? 1. Clear summerheat 2. Transform dampness 3. Release exterior
Common Cold - Formulas for Exterior Wind-Cold with Interior Heat? Shuang Jie Tang (Double Resolution Decoction) ALSO Jiu Wei Qiang Huo Tang: INT Heat with EXT W/C/D (Nine-Herb Decoction with Notopterygium)
Common Cold - Formula for Exterior with Qi Deficiency? Shen Su Yin (Ginseng & Perilla Leaf Decoction)
Common Cold - Formulas for Exterior with Yang Deficiency? Zai Zao San (Renewal Powder) ALSO Ma Huang Xi Xin Fu Zi Tang (Ephedra, Asarum & Prepared Aconit Decoction)
Common Cold - Formula for Exterior with Blood Deficiency? Cong Bai Qi Wei Yin (Scallion Decoction with Seven Ingredients)
Common Cold - Formula for Exterior with Yin Deficiency? Jia Jian Wei Rui Tang (Modified Polygonatum Odoratum Decoction)
What's the general pathology for Cough? LU qi fails to disseminate and descend; due to blockage of LU qi by pathogens or disorder of organs: LU LV SP
What are the general principles of tx for [External] Cough? 1. Dispel evils 2. Diffuse the LUs For EXC patterns: tonic and astringent ingredients should be avoided (to ensure complete expulsion of evils)
What are the general principles of tx for [Internal] Cough? 1. Restore proper functions of organs 2. Tonify the deficiency 3. Eliminate the evil qi For DEF patterns: avoid overuse of diaphoretics or LU-dispersing herbs to protect the right qi
External Cough - Formulas for Invasion of LU by Wind-Cold: San Ao Tang (Three-Unbinding Decoction) OR Zhi Sou San (Stop Coughing Powder)
External Cough - Formula for Invasion of the LU by Wind-Heat: Sang Ju Yin (Mulberry Leaf and Chrysanthemum Decoction)
Tx principles for Cough <- Invasion of LU by Wind-Cold? 1. Expel wind 2. Scatter cold 3. Release the exterior 4. Disseminate the LU qi 5. Stop cough
Tx principles for Cough <- Invasion of LU by Wind-Heat? 1. Dispel Wind 2. Clear heat 3. Diffuse the LU 4. Relieve coughing
External Cough - Formulas for the Invasion of the LU by Wind-Dryness: Warm-Dryness: Sang Xing Tang (Mulberry Leaf and Apricot Kernel Decoction) Cool-Dryness: Xing Su San (Apricot Kernel and Perilla Leaf Powder)
Internal Cough - Formulas for Damp-Phlegm in the LU: Er Chen Tang (Two-Cured Decoction) PLUS San Zi Yang Qin Tang (Three-Seed Decoction to Nourish One's Parents)
Tx principles for Cough <- Damp-Phlegm in the LU? 1. Dry dampness 2. Transform phlegm 3. Regulate qi 4. Stop cough
Internal Cough - Formula for Heat-Phlegm in the LU: Qing Jin Hua Tan Tang (Clear Metal/LU and Transform Phlegm Decoction)
Tx principles for Cough <- Heat-Phlegm in the LU? 1. Clear heat 2. Resolve phlegm 3. Restore the descending function of LU wi 4. Stop cough
Internal Cough - Formulas for LV-Fire Insulting the LU: Xie Bai San (Drain the White Powder) OR Qing Jin Hua Tan Tang (Clear Metal and Transform Phlegm Decoction) PLUS Dai Ge San (Indigo Pulverata Levis and Clam Shell Powder)
Tx principles for Cough <- LV-Fire Insulting the LU? 1. Clear the LV 2. Drain the LU 3. Transform Phlegm 4. Stop cough
Internal Cough - Formula for LU Yin Deficiency: Bai He Gu Jin Tang (Lily Bulb Decoction to Preserve the Metal)
Tx principles for Cough <-LU Yin Deficiency: 1. Nourish yin 2. Moisten LU 3. Transform Phlegm 4. Stop cough
Internal Cough - Formula for LU Qi Deficiency from Cold: Wen Fei Tang (Warm LU Decoction)
What formula for ssx fever, chills W/O sweating, pain and stiffness of head/neck, generalized body aches and pains? Jing Fang Bai Du San
What formulas for ssx fever, slight to no sweating or chills, H/A, thirst, cough and/or sore throat? Yin Qiao San OR Sang Ju Yin Yin Qiao San = clears heat stronger, good for sore throat Sang Ju Yin = clears heat weaker, good for cough and eyes
What formula for ssx dry nose sl H/A, chills w/o sweating, cough w/watery sputum, stuffy nose, dry throat, dry white tongue coat, wiry pulse? Xing Su San
What formula for ssx dry nose (maybe w/sl bleeding), moderate fever, H/A, thirst, dry hacking cough or one with scanty, thick, sticky sputum? Sang Xing Tang
What formula for ssx (acute onset) fever and chills unrelieved by sweating, fever worse in afternoon, lethargy, thirst w/no desire to drink, irritable, urine concentrated, maybe sore throat,sticky skin; white, greasy tongue and floating, rapid pulse? Xin Jia Xiang Ru Yin
What formula for ssx severe chills, high fever, no sweating, loud cough, very bad body aches, strong thirst w/desire for cold liquid, stuffy nose, body aches, sore throat, thirst, coughing w/thick yellow phlegm, dark urine and constipation? Shuang Jie Tang OR Jiu Wei Qiang Huo Tang
What formula for ssx mild chills and fever, runny/stuffy nose, H/A, cough maybe productive, stiffling sensation in chest, body aches; white tongue coat and frail pulse? Shen Su Yin (Ginseng & Perilla Leaf Decoction)
What formula for ssx slight fever, strong chills, absence of sweating, H/A, very exhausted (wants to lie down + cover up), dull/pale complexion, soft voice; very pale tongue, forceless pulse? Zai Zao San *(Ma Huang Xi Xin Fu Zi Tang)
What formula for ssx H/A, fever and mild chills, hardly sweat, dizziness, light-headedness, palpitations, fatigue, pale complexion, light sleep, hair/skin dry, pale lips, scanty period (+more often in women?); pulse floating and weak? Cong Bai Qi Wei Yin
What formula for ssx fever, sl chills, little or no sweating, H/A, body feels hot, dry throat, cough, sputum difficult to expectorate, thirst, usually thicker nasal congestion, irritability, scanty urine; t= dark red + no coat, p= forceful or rapid? Jia Jian Wei Rui Tang
What formulas for ssx of mc=cough, ticklish/itchy/irritated/ throat, runny/stuffy nose; tongue thin, white coat and pulse floating? San Ao Tang OR Zhi Sou San San Ao Tang = cold more on surface Zhi Sou San = cold more on/in LU
What formula for ssx mc=cough which is hacking, not much phlegm (dry from heat) or phelgm that's thicker, sticky, yellowish, concentrated, hard to expectorate? (good for bronchitis/asthma w/rapid labored breathing) Sang Ju Yin
What formulas for ssx mc=cough with copious, v. loose, white phlegm, chronic damp ssx in MW? Er Chen Tang PLUS San Zi Yang Qin Tang
What formula for ssx mc=cough that's hacking/loud, frequent, significantly yellow/green, thick/sticky, could be blood also, possible qi stag ssx i.e. chest tightness, shallow breathing; t=red, yellow, greasy, p=slippery or soft, rapid or Qing Jin Hua Tan Tang
What formulas for ssx mc=cough that's very loud, can have bloody mucus, purple/red face or eyes, distension, dizziness, tinnitus, constipation, thirst, emotional trigger; t=red,yellow coat, p=forceful, rapid? Xie Bai San OR Qing Jin Hua Tan Tang PLUS Dai Ge San
What formula for ssx mc=cough that's quiet, can have some blood & sputum, aggravated by hot weather, smoking, not drinking enough water, red cheeks, chronic sore throats, nightsweats, constipation, fatigue; t=red, dry/peeled, cracked, p=thin, weak? Bai He Gu Jin Tang
What formula for ssx mc=cough usually chronic, mild, weak, easily feels cold, sweats easily esp after any exertion, tired after sweating or talking, SOB, phlegm=white/clear, pale complexion, general fatigue, likes summer; t=pale, thin white coat? Wen Fei Tang
Created by: brighteyedster