HT0333: Herbal Treatment of Disease 2 Sample Quiz 2 – Second 4 weeks

Bleeding Disorders

  1. In reference to bleeding disorders, list herbs that have both functions:
  1. Two herbs that specifically cool blood and stop bleeding:
  1. Two herbs that specifically remove stasis and stop bleeding:
  1. Two herbs that are astringent and stop bleeding:
  1. Two herbs that are nourishing and stop bleeding:
  1. Which formula(s) should you start with to treat bleeding gums due to Stomach fire?
  2. Liu Wei Di Huang Wan and Qian Gen San (Six Ingredients Rehmannia Pill and Madder Root Powder)
  3. Jia Wei Qing Wei San and Xie Xin Tang (Augmented Clear the Stomach Powder and Drain the Heart Decoction
  4. Xie Bai San and Dai Ge San (Drain the White Powder and Indigo and Clamshell Powder)
  5. Di Yu Sanand Shi Hui San (Sanguisorba Powder and Ten Partially-Charred Substances Powder)
  1. 46 y.o. man says he has been nauseated, has a bitter taste in his mouth and occasionally vomits up some fluid with fresh blood in it. He says work has been difficult, he is concerned about being able to keep his job and pay bills, and his teenage son is in trouble at school. He admits his wife is frightened about his irritability. His tongue is red and pulse is rapid and wiry. You modify the following formula:
  2. Jia Wei Qing Wei San (Augmented Clear the Stomach Powder)
  3. Gui Pi Tang (Spleen Returning Powder)
  4. Long Dan Xie Gan Tang (Gentiana Drain the Liver Decoction)
  5. Chai Hu Shu Gan San (Bupleurum Spread Liver Qi Powder)
  1. You modify the formula by adding:
  2. chuan lian zi and suan zao ren
  3. bai mao gen and ce bai ye
  4. e jiao and han lian cao
  5. shi gao and hai piao xiao
  1. A 53 yo woman complains that for the past year and a half she has had tiredness, lack of appetite, poor memory and a loose stool that is dark and tarry. She has a pale tongue and thin, weak pulse. You start her on which formula modified?
  2. Gui Pi Tang with e jiao and xian he cao added
  3. Gui Pi Tang with di yu and bai tou weng added
  4. Huang Tu Tang with pao jiang and ai ye added
  5. Di Yu San with ce bai ye and xiao ji added
  1. A 76 yo man comes in with purplish spots under his skin ranging from 1 centimeter to 7-8 centimeters. He says he brushes against furniture and bruises easily. He is on Plavix® to prevent coronary or cerebral vascular events. His tongue is dark red with a scanty coat, and pulse is thready and rapid. You start him on:
  2. Gui Pi Tang (Spleen Returning Decoction)
  3. Xie Bai San (Drain the White Powder)
  4. Qian Gen San(Madder Root Powder)
  5. Di Yu San (Sanguisorba Powder)
  1. You modify the formula by adding:
  2. chi shao and dan shen
  3. bie jia and ai ye
  4. han lian cao and san qi
  5. e jiao and huang qin

Diabetes and Obesity

  1. The primary strategy for treating diabetes is to nourish yin, moisten dryness, generate fluids, and clear heat. Later stages, additional strategies may include: (1 pt)
  2. Strengthening the spleen and drying dampness
  3. Invigorating blood and clearing toxins
  4. Astringing body fluids and anchoring the spirit
  5. Relieving food stagnation and tonifying blood
  1. A patient who has had type 2 diabetes for 30 years with 20 years of injected insulin daily has lost 50 pounds in the last two years. He now complains of cold limbs even at night, but wakes up in a hot sweat. He has frequent urination, is thirsty, and has dark circles around his eyes. His tongue is pale with scanty coating and pulse is thready, deep and weak. You start him on:
  2. Jin Gui Shen Qi Wan with huang qi added
  3. Yu Nu Jian with wu wei zi added
  4. Wu Wei Xiao Du Yin with huang lian added
  5. Ming Mu Di Huang Wan with gou qi zi added
  1. List 5 general obesity herbs:
  1. For obesity with soft loose flesh, no overeating, puffy limbs, scanty urination, loose stools and late day fatigue, with pale swollen tongue with thick coating and soggy pulse, which combination of formulas would you choose?
  2. Xiao Cheng Qi Tang and Bao He Wan (Minor Order the Qi Decoction and Harmony Preserving Pill)
  3. Ling Gui Zhu Gan Tang and Zhen Wu Tang (Poria, Cinnamon, Atractylodes and Licorice Decoction and True Warrior Decoction)
  4. Shen Ling Bai Zhu San and Fang Ji Huang Qi Tang (Ginseng, Poria, Atractylodes Decoction and Stephania and Astragalus Decoction)
  5. Shi Xiao San and Xue Fu Zhu Yu Tang (Sudden Smile Powder and Drive Out Stasis in Mansion of Blood Decoction)
  1. For obesity in people whose overeating habits relate to the amount of deadline pressure, emotional situations and other stressors in their lives, the best base formula to begin with would be:
  2. Yue Yu Wan (Escape Restraint Pill)
  3. Xiao Yao San (Rambling Powder)
  4. Mu Xiang Shun Qi Tang (Aucklandia Smooth the Qi Decoction)
  5. Long Dan Xie Gan Tang (Gentiana Drain the Liver Decoction)

Headache

  1. Match the formula with the syndrome for Headaches:

Kidney Deficiency /
  1. Ban Xia Bai Zhu Tian Ma Tang

Blood Stasis /
  1. Tian Ma Gou Teng Yin

Wind-Heat /
  1. Chuan Xiong Cha Tiao San

Liver Yang Rising /
  1. Qiang Huo Sheng Shi Tang

Turbid Phlegm /
  1. Ba Zhen Tang

Wind-Cold /
  1. Da Bu Yuan Jian

Qi and Blood Deficiency /
  1. Xiong Zhi Shi Gao Tang

Wind-Damp /
  1. Tong Qiao Huo Xue Tang

  1. List key herbs for treating headaches:
  2. Due to Liver Yang Rising:
  3. Due to Liver Wind:
  4. Due to Blood Stasis:
  5. Tai yang type:
  6. Yang ming type:
  7. Shao yang type:
  8. Tai yin type:
  9. Shao yin type:
  10. Jue yin type:
  11. Wind-cold:
  12. Wind-heat:

Lumbago, Bi Syndrome and Wei Syndrome

  1. List key herbs for treating lumbago due to:
  2. blood stasis:
  1. cold dampness:
  1. heat dampness:
  1. Kidney deficiency:
  1. Du Huo Sheng Ji Tang (Angelica and Taxillus Decoction) is used to treat lumbago with cold-damp invasion. What other concurrent diagnoses goes with the cold-damp for use of this formula?

  1. Qi and blood stasis
  2. Qi and blood deficiency
  3. Yin and yang deficiency
  4. Damp-heat pouring down
  5. A&B
  6. B&C
  7. A&D
  8. D&B

  1. What herbs are useful for dredging channels and collaterals to relieve pain and numbness?
  1. A 34 y.o. patient who has been diagnosed with rheumatoid arthritis for 9 years and is on medication that she wants to discontinue because she wants to become pregnant and they are contraindicated. Recently she has been having flare-ups affecting her left wrist with pain, redness, heat and swelling around the ulnar bone and into the dorsal aspect of the wrist and 5th metacarpal bone. Her job is periodically stressful with deadlines, and worse with a recent company merger and layoffs. She gets anxious easily. Her tongue is unremarkable and pulse is thin and wiry. You chose which formula to base your treatment?
  1. Yi Yi Ren (Coix Decoction)
  2. Xuan Bi Tang (Disband Painful Obstruction Decoction)
  3. San Bi Tang (Three Painful Obstruction Decoction)
  4. Wu Tou Tang (Aconite Decoction)
  1. You modify by adding:
  2. Qin jiao, dan shen, ren dong teng, chi shao
  3. Chai hu, long gu, hu po, mu gua
  4. Bai hua she, du huo, qiang huo, fang feng
  5. Huang qi, ling zhi, gou qi zi, nu zhen zi
  1. A 23 y.o. UT graduate student came home last week after 6 months of studying effects of global warming on the Amazonia flora and fauna. He had gotten ill with a high fever for five days which abated 3 weeks ago. Since then he has been experiencing weakness and numbness in his lower legs, a sense of heaviness in his chest, lack of appetite and loose stools with a foul odor, dark urination and cloudy-headedness and sleepiness. His tongue has a greasy yellow coat and a soggy slightly rapid pulse. You decide to start with the following formula:
  2. Ge Gen Qin Lian Tang (Peuraria, Coptis and Scutellaria Decoction)
  3. Shen Ling Bai Zhu San (Ginseng, Poria and Atractylodes Powder)
  4. Hu Qian Wan (Hidden Tiger Pill)
  5. Jia Wei Er Miao San (Augmented Two Miracle Powder)
  1. You modify the formula by adding:
  2. Pei lan, sha ren, ji xue teng, ze xie
  3. Huang qi, shen qu, lian zi, wu wei zi
  4. Sang ji sheng, du zhong, xu duan, fu ling
  5. Shi gao, ling yang jiao, sang bai pi, wu gong