The Jin Gui Yao Lue: Essentials of the Golden Cabinet: Treatment Strategies Dr. Song, David Miller

Final Exam Review:

Chapter 2: Treatment of Jing, Humidity, and Ye Disease

These are multiple choice on final – only the highlighted ones – what they treat, what disease.

Chapter and Disease: 2 / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of
Jing, Humidity, and Ye Disease / Jing:
Convulsion / Rou Jing / Gua Lou Gui Zhi Tang
Gang Jing About to onset / Ge Gen Tang
Jing caused by interior heat / Da Cheng Qi Tang
Shi:
Humidity / Excessive Pattern / Damp cold in head / Nasal intake herbs
Exterior Damp Cold / Ma Huang Jia Zhu Tang*
Exterior Wind Damp / Ma Xing Yi Gan Tang*
Deficiency Pattern / Exterior wind damp pattern / Fang Ji Huang Qi Tang*
Wind damp pattern Wind>Damp / Gui Zhi Fu Zi Tang*
Wind damp pattern Wind<Damp / Bai Zhu Fu Zi Tang*
Exterior / Interior Yang Deficiency Wind=Damp / Gan Cao Fu Zi Tang*
Ye: Summer Heat Attack / Yang Ming excessive heat damage fluid (ST/LI) / Bai Hu Jia Ren Shen Tang
Summer heat attack with damp / Yi Wu Gua Di San

Know for essays!

Ma Huang Jia Zhu Tang ,Ma Xing Yi Gan Tang and Fang Ji Huang Qi Tang
Ma Huang Jia Zhu Tang: 5 (pg. 50)
Cold –Dissipating and Damp Dispelling
Base Fx: Ma Huang Tang / Ma Xing Yi Gan Tang: 4
Exterior Resolving and Damp Expelling / Fang Ji Huang Qi Tang: 4
Strengthen Qi, Eliminate Damp
Singles: Ma Huang, Gui Zhi, Xing Ren, Gan Cao, Bai Zhu Modifications: Cang Zhu / Singles: Ma Huang, Yi Yi Ren, Xing Ren, Gan Cao / Singles: Fang Ji, Gan Cao, Bai Zhu, Huang Qi
Excessive Pattern: Exterior Cold Damp (Promote Sweating) Ying / Wei Levels / Excessive Pattern: Wind Damp (No Sweating) / Wind Damp Exterior: Wei Qi Deficiency / SP Xu
Sweating, aversion to wind
External Cold stirring Internal Damp:
Obstruct Yang Qi in Exterior Channels and Collaterals / Wind Cold Obstruction Accumulates Damp in the Exterior: Obstructing Yang Qi Transforming to Heat / Heavy sensation, Dampness with no pain
Pulse: Floating
Vexation, Heavy Fixed Pain: No difference in symptoms AM/PM / Afternoon Fever: 3-5 pm (Yang Ming) / Mild sweating is needed to bring recovery
Treatment: Warm Pungent Herbs / Treatment: Disperesing and Eliminating Exterior Damp
Commentary: This patient will be suffering from long term dampness / Commentary: Fortify spleen. Aggravated by changes in humidity, rain / Commentary: sensation of insects moving under the skin signifies that Wei Qi has been invigorated

Fuhget about this box.

Gui Zhi Fu Zi Tang, Bai Zhu Fu Zi Tang and Gan Cao Fu Zi Tang
Wind Damp Impediment Patterns with Yang Deficeicny
Gui Zhi Fu Zi Tang: 5 (pg. 56)
Cold Damage: 8 – 9 Days / Bai Zhu Fu Zi Tang : 5 (pg.56)
Cold Damage: 8 – 9 Days / Gan Cao Fu Zi Tang: 4
Warming Yang, Spleen, Wind Dispelling
Singles: Gui Zhi, Sheng Jiang, Fu Zi, Gan Cao, Da Zao / Singles: Bai Zhi, Fu Zi, Gan Cao, Sheng Jiang, Da Zao / Singles: Gan Cao, Bai Zhu, Fu Zi, Gui Zhi
Wind Damp: Yang Deficiency, Wind Over Damp / Wind Damp: Yang Deficiency, Damp Over Wind / Wind Damp: Exterior / Interior Yang Deficiency
Wind and Dampness contend with one another / Wind and Dampness contend with one another / Exuberant wind-damp
Generalized Pain, inability to turn over, excessive thirst, no vomiting, Wei Yang Deficiency / Wei Yang Deficiency is improving leads to hard stools and uninhibited urination / Causing pain in the joints, inability to stretch. Pain with touch, sweating, SOB, Aversion to wind
Wind and Dampness contend with one another / Damp Evil has not invaded the stomach
Commentary: Stool firming is a good sign of Wei Yang Qi returning to normal and that the evil has been released / Commentary: Bai Zhu and Fu Zi move under skin and dispel water. Patient cannot turn over. / Commentary: Channels Collaterals and Joints

Not on the test either.

Chapter 3: Treatment of Bai He, Hu Huo, and Yin Yang Du Diseases

Chapter and Disease: 3 / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of
Bai He, Hu Huo,
and
Yin Yang Du
Diseases / Bai He / Ordinary tratment / Bai He Di Huang Tang
Misleading sweating / Bai He Zhi Mu Tang
Misleading purgation / Hua Shi Dai Zhe Tang
Misleading vomiting / Bai He Ji Zi Tang
Hu Huo / Internal treatment / Upper, hoarse / Gan Cao Xie Xin Tan
Pus / Chi Xiao Dou Dang Gui San
External treatment / genitals / Ku Shen Tang wash
Anus / Xiong Huang smoke
Yin Yang Du / Yang Du / Sheng Ma Bie Jia Tang
Yin Du / Sheng Ma Bie Jia Tang minus Xiong Huang, Shu Jiao

Not on the test either.

Chapter 6: Treatment of Blood and Consumptive Diseases

Chapter and Disease: 6 / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of
Blood
and
Consumptive
Diseases / Xue Bi / Mild pattern / acupuncture to stimulate yang vital energy
Severe pattern / Huang Qi Gui Zhi Wu Wu Tang
Xu Lao / Kidney deficiency / Gui Zhi Jia Long Gu Mu Li Tang
Tian Xiong San
Spleen deficiency / Spleen Yang deficiency / Xiao Jian Zhong Tang
Spleen qi deficiency / Huang Qi Jiang Zhong Tang
Kidney yang deficiency / Shen Qi Wan
Liver yin deficiency / Suan Zao Ren Tang
All deficiency caused by consumptive disease / Shu Yu Wan
Blood stasis type of consumptive disease / Da Huang Zhe Chong Wan
Knotted pulse / Qian Jin Yi Zhi Gan Cao

Know the 3 highlighted ones below

Chapter 9: Treatment of Chest Obstruction, Heart Pain and Shortness of Breath

Chapter and Disease: 9 / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex a
Treatment of
Chest Obstruction, Heart Pain and Shortness of Breath / Xiong Bi / Typical pattern / Gua Lou Xie Bai Bai Jiu Tang
Phlegm and Turbid Excess Pattern / Gua Lou Xie Bai Ban Xia Tang
Qi:
Obstruction in Chest / Excessive / Zhi Shi Xie Bai Gui Zhi Tang
Deficient / Ren Shen Tang
Mild pattern / Water retention>Qi stagnation / Fu Ling Xing Ren Gan Cao Tang
Water retention<Qi stagnation / Ju Zhi Jiang Tang
Acute Pattern: / Yi Yi Fu Zi San
Xin Tong / Adversely upward qi flowing due to cold & water retention coagulation / Gui Zhi Sheng Jiang Zhi Shi Tang
Cold coagulation / Wu Tou Chi Shi Zhi Wan

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Chapter 10: Treatment of Abdominal Distention, Abdominal Pain Caused by Cold and Indigestion

Chapter and Disease: 10 / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of
Abdominal Distention, Abdominal Pain
Caused by
Cold and Indigestion / Fu Man / Excessive heat / Interior excess with exterior syndrome / Hou Po Qi Wu Tang
Interior excess with Distention >excessive accumulation / Hou Po San Wu Tang
Interior excess with Shaoyang syndrome / Da Chai Hu Tang
Interior excess with both severe distention & excessive accumulation / Da Cheng Qi Tang
Cold & water retention accumulation / Fu Zi Jing Mi Tang
Cold & water retention with abdominal pain / Chi Wan
Cold & excessive accumulation / Da Huang Fu Zi Tang
Han Shan / Middle Jiao deficiency with excessive cold / Da Jian Zhong Tang
Cold coagulation / Da Wu Tou Jian
Blood deficiency / Dang Gui Sheng Jiang Yang Rou Tang
Han Shan with exterior syndrome / Wu Tou Gui Zhi Tang
Su Shi / Food stagnation locates in upper part / Gua Di San
Food stagnation locates in lower part / Da Cheng Qi Tang

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Chapter 12: Treatment of Tan Yin and Coughing

Chapter and Disease: 12 / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of
Tan Yin
and
Coughing / Tan Yin / Water retention stays in epigastria / Ling Gui Zhu Gan Tang
Shortness of breath / Spleen yang deficiency
Kidney yang deficiency / Ling Gui Zhu Gan Tang
Hidden water retention /Staying water retention / Gan Sui Ban Tang
Water retention in intestines / Ji Jiao Li Huang Wan
Dizzy / Ze Xie Tang
Water retention under umbilicus / Wu Ling San
With vomiting, w/o thirst / Xiao Ban Xia Tang*
Vomiting, vertigo, palpitation / Xiao Ban Xia Jia Fu Ling Tang
Xuan Yin / Shi Zao Tang
Yi Yin / Water retention severe in exterior, with transformed heat / Da Qing Long Tang
Both severe interior water retention and exterior cold / Xiao Qing Long Tang
Zhi Yin / Exterior cold with interior water retention / Xiao Qing Long Tang
Heavy breathing with Zhiyin / Ting Li Da Zao Xie Fei Tang
Zhiyin abdominal fullness / Hou Po Da Huang Tang
Severe Zhiyin / Deficient / Mu Fang Ji Tang
Excessive / Mu Fang Ji Qu Shi Gao Jia Fu Ling Mang Xiao Tang
Excessive Zhiyin / Shi Zao Tang

Know the diffs between these 2 formulas – from Chapter 17

Xiao Ban Xia Tang Vs. Ban Xia Gan Jiang San
Xiao Ban Xia Tang: 2 (pg.330)
Rheum transforming, down bearing, harmonizing / Ban Xia Gan Jiang San: 2 (pg. 471)
Middle warming and cold dissipating
Singles: Ban Xia, Gan Cao
Modifications: Gan Jiang, Ding Xiang, Huang Lian, Zhu Ru / Singles: Ban Xia, Gan Jiang
Modifications: Sheng Jiang is less effective
Propping Rheum: Vomiting / Rheum: collected in the stomach
Absence of thirst caused by propping rheum below the heart. No thirst suggests that the rheum below the heart has not been evacuated through vomiting. / Dry retching, vomiting with counter flow, drool and / or foaming
Cold Rheum: Dizziness, Pale Tongue, moderate slippery pulse / Middle Yang Deficiency: with stomach deficiency cold fail to descend the turbid. Also possibility of Spleen Yang Deficeicny
Action: to disperse Yang Qi in the Middle (MJ) and Upper Jiao (UJ), Correct Qi Flow
Commentary: Fluid damage is probable / Commentary: Root and branch are treated

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Gua Lou Xie Bai Bai Jiu Tang ,Gua Lou Xie Bai Ban Xia Tang and Zhi Shi Xie Bai Gui Zhi Tang
Gua Lou Xie Bai Bai Jiu Tang: 3 (pg. 222)
Yang Freeing, bind dispersing, phlegm dispelling / Gua Lou Xie Bai Ban Xia Tang : / Gan Cao Fu Zi Tang: 4
Warming Yang, Spleen, Wind Dispelling
Singles: Gua Lou, Xie Bai, Bai Jiu / Singles: / Singles: Gan Cao, Bai Zhu, Fu Zi, Gui Zhi
Yang Obstruction, Qi Stagnation / Wind Damp: Exterior / Interior Yang Deficiency
Acrid, bitter, sweet / Exuberant wind-damp
Chest Pain that will radiate to the back, SOB, panting, coughing due to the failure of the lung to disperse and diffuse / Causing pain in the joints, inability to stretch. Pain with touch, sweating, SOB, Aversion to wind
Commentary: Pulse will indicate the location of phlegm
Sunken Slow “sluggish” vs. Tight Rapid “frenetic” / Commentary: / Commentary: Channels Collaterals and Joints

Know the highlighted rx’s below

Chapter 14: Treatment of Edema

Chapter and Disease: 14 / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of Edema / Feng Shui / Wind edema with heat / Yue Bi Tang
Wind edema with exterior deficiency / Fang Ji Huang Qi Tang
Pi Shui / Skin edema with heat / Yue Bi Jia Zhu Tang
Skin edema with excessive exterior / Gan Cao Ma Huang Tang
Skin edema with yang obstruction / Fang Ji Fu Ling Tang
Zheng Shui and Feng Shui / Deep pulse with heavy breath is Zheng Shui- / Ma Huang Fu Zi Tang
Floating pulse with cough is Feng Shui- / Xing Zi Tang
Qi level disease / Yang deficiency with yin coagulation / Gui Zhi Qu Shao Yao Jia Ma Xin Fu Zi Tang
Spleen deficiency with qi obstruction / Zhi Zhu Tang

Know, but don’t need to compare – just know what syndrome pattern and disease they treat.

Fang Ji Huang Qi Tang Vs. Fang Ji Fu Ling Tang
Fang Ji Huang Qi Tang: 4
Strengthen Qi, Eliminate Damp / Fang Ji Fu Ling Tang: 5
Yang Freeing, Water Expelling
Singles: Fang Ji, Gan Cao, Bai Zhu, Huang Qi / Singles: Fang Ji, Huang Qi, Gui Zhi, Fu Ling, Gan Cao
Wind Damp Exterior: Wei Qi Deficiency / SP Xu
Sweating, aversion to wind / Spleen Deficiency: Constrained Yang, Water Accumulations
Heavy sensation, Dampness with no pain
Pulse: Floating / Evil Qi contends with upright Qi, Swelling causes Yang Qi constraint.
Water spills outward
Mild sweating is needed to bring recovery
Commentary: sensation of insects moving under the skin signifies that Wei Qi has been invigorated / Commentary: Twitching appears, may be used for generalized swelling. Cardiopulmonary disease. Fang Ji has been shown to be an extraordinary diuretic.

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Chapter 15: Treatment of Jaundice

Chapter 15: / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of
Jaundice / Huang Dan Bing / Gu Dan / Yin Chen Hao Tang
Jiu Dan / Zhi Zi Da Huang Tang
Nu Lao Dan / Xiao Shi Pi Shi San
Interior Excessive heat / Da Huang Xiao Shi Tang
Damp>Heat / Yin Chen Wu Ling San
Accompany syndrome of Jaundice / With exterior deficiency / Gui Zhi Jia Huang Qi Tang
With Shaoyang syndrome / Xiao Chai Hu Tang
Mal-treatment leads to belching / Xiao Ban Xia Tang
Xu Lao( deficiency ) with pale yellow color jaundice / Xiao Jian Zhong Tang

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Chapter 18: Treatment of Skin, Acute Appendicitis and Jin Yin

Chapter 18: / Syndrome: / Differentiation: / Representative Formula:
On Pulse Syndrome Complex
Treatment of Skin,
Acute Appendicitis
and Jin Yin( Acute Eczema) / skin carbuncle
Acute Appendicitis / Abscess already formed / Yi Yi Fu Zi Bai Jiang San
Abscess haven’t formed / Da Huang Mu Dan Tang
Jin Ying / Huang Lian Fen

Know what they treat – disease and syndrome pattern as well as description between mass in the ab and preggers. I.e., movement prior to the 2nd trimester is not fetal movement!