Course: / Herbal Competencies/Board Prep Class / Date: / April 16, 2011
Class #: / 1 / Prof: / Violet Song

Need to know ratios between herbs in the formulas. Need to know toxic herbs and doses. Know the doses for emergency herbs too.

Reviewing: V will give paired up herbs for review – commonalities, differences. Differences between similar herbs.

General Stuff

Herbal Properties

Some q’s won’t directly test you about the nature, but will give q’s in which you have to know the temp in order to answer the question correctly.

–Nature (temperature)
Temperature of herbs may be reflected in questions – like you wouldn’t choose a hot herb for someone with heat, balah balah balah.

–Flavor

–Acrid: Disperse (Bo He), Move (qi: Xiang Fu, Blood, Chuan Xiong)

–Sweet: Tonify (Ren Shen), Relieve (Yi Tang), Harmonize ( Da Zao)

–Sour (acerbity) : astringent (Wu Mei)

–Bitter: Purge (Huang Lian, Xing Ren, Da Huang), Dry ( Cang Zhu)

–Salty: Soften (Kun Bu), Purge (Mang Xiao)

–Bland: diuresis (Fu Ling)

Channel tropism (what channel an herb goes to) is hard to memorize one at a time. Not all that necessary. Hard to memorize all of the channels an herb goes to. Combine function for this. Generally only 1-2 questions related to this. Can get a clue from the effect. Some are special, however. Example: bai zhi treats frontal headache, so Stomach. Qiang huo treats back of the head and thus Bladder.

Memorize these!!

–18 Incompatibilities

Gan Cao with: Gan Sui, Da Ji, Yuan Hua, Hai Zao

WU Tou/ Fu Zi with: Bei Mu, Gua Lou, Ban Xia, Bai Lian, Bai Ji

–Li Lu: 5 “shen” herbs (xuan shen, dang shen, etc.), 2 Shao Yao herbs, and Xi Xin

–19 Antagonisms

–Ding Xiang+ Yu Jin

–Rou Gui+ Chi Shi Zhi

–Pregnancy forbidden

–This is a high risk group. The board loves to test you on this. No blood movers for preggers – except Dan Shen. That’s ok.

•Dosages
Know this! Esp Gui Zhi and Bai Shao (1:1).

•Administration

–Morning

–Before meals (tonify)

–After meals (digestive)

–Before sleep

–Certain time

–Frequent taking (emergency rescue type, for pts who are vomiting – freq small doses)

Pediatric doses are also tested. 1/6th, 1/3rd of adult, etc.

New Born Baby (0-28days) / 1/6 of adult dose
1 month - 1 year / 1/3 of adult dose
1-6 years / ½ of adult dose
7 – 12 years / 2/3 of adult dose
Over 12 years / Same as adult

Herbs-Release Exterior

General Information

•Herbs are predominantly: Acrid going to LU, UB channels

•Function to:

–Release exterior syndrome

–Disperse LU

–Promote diuresis /urination

–Vent rashes

•Caution for these herbs:

–Patient should stop when syndrome is controlled

–Not suitable for people with poor body constitution – combine with tonification herbs

–Should only be decocted for a short time because they contain aromatic/volatile oils – long term decoction will decrease effectiveness.

Herbs - Release Exterior: Wind/Cold

Ma Huang / Stronger for sweating
Calms wheezing
Promotes urination
Better for edema and wheezing than gui zhi / Common:
Promote sweating
Release exterior
Gui Zhi / Milder for sweating
Dredges and warms channels
Opens chest bi and yang
Zi Su Ye / Regulates Qi
Calms fetus
/ Common:
Release W/C
Harmonize/regulate Middle Jiao
Antidote for poisoning from fish
Sheng Jiang / Warms Middle Jiao to stop vomiting (#1 for this)
Warms Lung to stop coughing
Jing Jie / Vents rashes and stops itching
Tan form stops gynecological bleeding as this herb goes upward
/ Common:
Release exterior
Treats either WH or WC as both are very mild
Fang Feng / Treats dampness to stop pain and convulsions
Qiang Huo / Taiyang headaches
/ Common:
Release W/C
Relieve headaches due to WD
Gao Ben / Jueyin headaches (goes to LV ch)
Xi Xin / Strongest to stop pain
Most aromatic, strongest, harshest
Warms LU to resolve water retention
/ Common:
Open the nose
Stop pain (especially sinus pain)
Bai Zhi / Yangming/frontal headache
Astringes dampness in the upper - nose
Astringes dampness in the lower – vagina
Xin Yi Hua / Nothing special
Cang Er Zi / Slightly toxic – use chao/stir-fried version
Dries dampness
Often paired with Xin Yi Hua
Xiang Ru / Used in summer time / Common:
Release W/C
Promote urination, reduce edema
Ma Huang / Stoops wheezing/asthma

Release Exterior: Wind Heat

Bo He / Refreshes the mind
Benefits throat (cools burning)
Soothes LV qi
/ Common:
Expels WH
Vents rashes
Niu Bang Zi / Expels both WH and heat toxins
Benefits throat (sore throat)
Eliminates sores
Chan Tui / Brightens eyes
Treats hoarse voice
Expels wind to stop convulsions
Night crying
Sang Ye / Stronger to release WH
Clear LU heat
Moisten dryness
/ Common:
Expel WH
Calm LV
Brighten eyes
Ju Hua / Stronger calm LV than Sang Ye
Clears heat toxins
Ge Gen / Weakest to lift yang
Pain/rigidity of upper back and neck
Moistens body fluids to stop thirst
Vents rashes
/ Common:
Release WH
Lift yang
Chai Hu / Medium in strength to lift yang
Treats shaoyang syndromes
Soothes LV
Sheng Ma / Strongest to lift yang
Clears heat toxins
Vents rashes
Man Jing Zi / Releases WH
Clears head
Stops headache
Dan Dou Chi / Releases exterior
Treats restlessness
often combined with Zhi Zi for this
Soy based – beware allergies/sensitivs

Herbs-Clear Heat

General Information

•These herbs clear interior Heat (not exterior)

•Cautions

–Herbs are cold or cool in nature and can damage Middle Jiao (esp MJ yang qi). Watch for loose stools and SP deficiency

–Stop taking them when syndrome is controlled

Drain Fire

Shi Gao / Sheng shi gao – very strong to clear excess heat
Shu shi gao – calcinated for plasters
/ Common:
Clear heat and drain fire
Eliminate restlessness due to excess heat and high fevers
Stop thirst
Zhi Mu / Nourishes yin and LU
Nourishes ST to increase body fluids
Treats dryness constipation
Tian Hua Fen / Stronger to promote body fluids
/ Common:
Clear heat
Promote body fluids
Relieve cough
Expel pus
Lu Gen / Milder to promote body fluids
Stops vomiting
Promotes urination
 Lung channel
Zhi Zi / Drains through all 3 jiaos
Eliminates damp heat
Cools blood
Reduces toxicity
/ Common:
Clear heat
Eliminate restlessness
Promote body fluids
Promote urination
Dan Zhu Ye / Stronger to promote urination
Xia Ku Cao / Dissipate nodules d/t phlegm and fire
Lower blood pressure
/ Common:
Clear LV fire
Brighten eyes
Jue Ming Zi / Moisten intestines

Cool Blood

Sheng Di / More nourishing than xuan shen
More cloying than xuan shen
Promotes body fluids
Stops heat type bleeding / Common:
Clear heat, cool blood
Nourish yin
Moisten intestines
Xuan Shen / Dissipates nodules
Clears heat toxins
Mu Dan Pi / Better to cool blood
Specialty 1: eliminate deficient heat
Specialty 2: Treat internal (intestinal) abscesses
/ Common:
From similar botanical flowers
Clear heat/cool blood
Move blood, remove stasis
Chi Shao / Better to stop pain
Specialty 1: clears LV fire
Specialty 2: for external abscesses
Zi Cao / Clear heat, cool blood
Detoxifies
Vents rashes – diaper rash external but stains skin/clothing
Can cause LV damage taken internally
Shui Niu Jiao / Clear heat, cool blood
Detoxifies
For Xue stage of heat disease

Clear Heat/Dry Damp

Huang Qin / Upper jiao
Calm fetus
LU and LI fire / Common:
Clear heat
Dry damp
Detox
Huang Lian / Middle Jiao
Strongest for heat toxins
HT and ST fire
Huang Bai / Lower jiao
Yin deficiency with fire
Deficient fire
Long Dan Cao / Enters LV channel
Clears LV fire, excess heat/damp heat in LV / Common:
Clear heat
Dry damp
Ku Shen / Enters HT channel
Kills insects/stops itching
Promotes urination

Clear Heat/Relieve Toxicity

Jin Yin Hua / Stronger to clear heat toxins
Clears summer heat / Common:
Often paired – couplet herbs
Clears heat toxins (longer cook time - acne)
Expels WH (shorter cook time)
Lian Qiao / Treats sores, carbuncles, skin issues
Promotes urination
Pu Gong Ying / Breast abscesses
Promote urination
Dispel dampness / Common:
Clear heat toxins
Zi Hua Di Ding / Abscesses – skin and skin issues
Ye Ju Hua / Calms LV
Yu Xing Cao / Lung abscesses
Promote urination
Bai Jiang Cao / Intestine, LU, LV abscesses
- Blood stasis
- Pain
Commonly used post-partum with blood stagnation causing pain
Hong Teng or Da Xue Teng / Intestinal abscesses
Moves blood, relieves pain
Da Qing Ye / Cool blood
Eliminates heat-related purpura / Common:
From same plant
Clears heat toxins, cools blood
Benefits throat
Ban Lan Gen / Benefits throat – specialty for this
Qing Dai / Clears LV
Calms convulsions
Treats LV fire invading LU with coughing of blood
She Gan / Eliminate phlegm / Common: Throat Grouping!
Sore throat
Clears heat toxins
Shan Dou Gen / Stronger to stop pain – very cold
Ma Bo / Stops bleeding, spitting blood, deep red spots on back of the throat. (Fungal – could cause allergic rx)
Bai Tou Weng / Amoebic dysentery - #1 choice / Common: Dysentery/diarrhea Grouping
Clear heat, cool blood
Stop dysentery
Ya Dan Zi / Kill insects
Treat malaria
Eliminate warts
Toxic – used in China for gastric cancers
Chuan Xin Lian / Clear heat toxins
Dry damp
Clear LU/heat, stop cough
Mostly respiratory stuff
Bai Xian Pi / Clear heat toxins
Dry damp
Expel wind
Stop itching
Ban Bian Lian / Clear hat toxins
Promote urination
Cancer – esp LV cancer
Bai Hua She She Cao / Cancer – esp GI tract
Tu Fu Ling / Essential for syphilis
Clear heat toxins
Dry damp
Mercury poisoning

Clear Deficient Heat

Qing Hao / Clear LV heat
Clear summer heat
Treat malaria / Common:
Clear xu heat
Cool blood
Di Gu Pi / Clear LU heat
Stop cough, cough + blood
Promote body fluids
(Bark of root of gou qi zi)
Bai Wei / Promote urination
Yin Chai Hu /  / Common
Clear deficient heat
Eliminate/treat deficient heat assoc’d with malnutrition
Hu Huang Lian / Clear damp heat
Di Gu Pi / Clear LU heat
Stop cough / Common
Clear deficient heat
Cool blood
These aren’t from the same category
Mu Dan Pi / Move blood
Stop pain

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