HT0333: Herbal Treatment of Disease 2 KEY KEY Sample Quiz 1 – First 4 weeks Jaundice and Hypochondriac Pain Questions 1. In reference to jaundice, list herbs that are: a. The representative herb for jaundice: ___yin chen hao____ b. Two herbs that in combination synergistically promote bile discharge: ____da huang___ and ____zhi zi_____ c. Two herbs that are used for kidney deficiency and are hepatoprotective ___nu zhen zi_____ and ___ling zhi___ (gou qi zi, wu wei zi OK) d. An herb that is hepatoprotective and used when liver enzymes are high: ______ wu wei zi _____ and it should be administered in what form? ___powder or tincture (not decocted)_________ 2. Which formula is best to use for jaundice due to damp-heat with heat predominant? a. Yin Chen Si Ling San c. Yin Chen Hao Tang b. Yin Chen Zhu Fu Tang d. Xiao Chai Hu Tang 3. Which qi regulating herb is most specific for hypochondriac pain: a. chai hu c. mu xiang b. fo shou d. chuan lian zi 4. List herbs that relieve hypochondriac pain and: ( a. promote movement of qi and invigorate blood: ___yu jin___ and ___yan hu suo___ (e zhu, san leng, mo yao, ru xiang OK) b. promote urination and bile discharge to dispel stones: __hai jin sha__ and ___jin qian cao___ (ji nei jin OK) c. nourishes yin, invigorates blood, dispels mass: ________bie jia_________ 5. Which formula relieves hypochondriac pain due to blood stasis: a. Xue Fu Zhu Yu Tang b. Tong Xie Hou Xie Tang c. Yi Guan Jian d. Huang Qi Jian Zhong Tang 6. A patient with jaundice that is bright yellow, has a fever, and is thirsty and restless. There is also scanty urination, constipation and pain in the hypochondria. The tongue is red with a yellow coat and the pulse is slippery and rapid. You choose which as the base formula? a. Gan Lu Xiao Du Dan b. Yin Chen Zhu Fu Tang c. Qian Jin Xi Jiao San d. Yin Chen Hao Tang 7. Your modified formula is composed of: Yin chen hao Pu gong ying Jin qian cao Zhi zi Lian qiao Ze xie Da huang Hu zhang Chuan lian zi Huang qin Yu jin Ban lan gen/da qing ye 8. A 34 yo man complains of pain along his lower ribs and an achy distending sensation in the chest. He has abdominal fullness, a bitter taste in his mouth, and occasional acid reflux. His work life is very stressful with constant deadlines, and he is having financial hardship. His tongue is pale red and pulse is wiry. You choose which as the base formula? a. Long Dan Xie Gan Tang b. Chai Hu Shu Gan San c. Yi Guan Jian d. Xiao Yao San 9. Your modified formula is composed of: Chai hu Bai shao Yan hu suo Xiang fu Gan cao Yu jin Chen pi Chuan xiong He huan pi Zhi ke Chuan lian zi Hai piao xiao Edema and Lin Syndrome Questions 10. List five herbs to promote urination, drain dampness and reduce edema. fu ling, zhu ling, yi yi ren, ze xie, dong gua pi,che qian zi, chi xiao dou, hai jin sha, yu mi xu, yu li ren, dong kui zi, sheng jiang pi 11. List two herbs to invigorate blood and promote urination to treat edema. ___yi mu cao____ and ___hu po or ze lan ___ (niu xi OK) 12. Generalized edema with oppression of chest, epigastrium and abdomen with nausea, reduced urination that is dark yellow, constipation, mild fever and thirst. Tongue is red with thick yellow greasy coating and pulse is rapid and slippery. Which formula is best to use? a. Shi Pi Yin c. Ma Huang Lian Qiao Chi Xiao Dou Tang b. Shu Zao Yin Zi d. Yue Bi Jia Bai Zhu Tang 13. For painful urinary syndrome (lin syndrome) with urination that is frequent scanty urination with feeling of being incomplete and has burning discomfort on urination and lower abdominal pain between urinations, use which formula? a. Ba Zhen Tang c. Gao Lin Tang b. Ba Zheng San d. Wu Bi Shan Yao Wan 14. List two herbs that: a. are specific to treat re lin (damp-heat) che qian zi, di fu zi, qu mai, bian xu, mu tong, tong cao, shi wei, bei xie, dong kui zi, deng xin cao, hai jin sha, chi xiao dou, hua shi OK – pu gong ying, yu xing ao, bai hua she she cao b. are specific to treat gao lin (turbid urine) ______bei xie__ and ___shi chang pu___ c. are specific for xue lin (bloody urine) xiao ji and_bai mao gen or ou jie, shi wei, dong kui zi, bai wei, pu huang d. are specific for shi lin (urinary stones) shi wei and hai jin sha or jin qian cao, dong kui zi, ji nei jin, hua shi, wang bu liu xing 15. Match the signs and symptoms with the correct base formula. a. __5__ Acute localized edema with heat, redness and swelling of the skin; fever & chills, thirst, body rash. Red tongue with greasy yellow coating; slippery rapid pulse. b. __1__ Chronic weak flowing urination that is prolonged and dribbling; fatigue, weakness of low back or knees; tongue is pale with moist coating and pulse is weak. c. __4__ Chronic pitting edema that is worse in the lower extremities, with a heaviness sensation; desire for warm foods and drinks, tiredness, weakness and coldness of lower back, scanty urination; pulse is deep and weak; tongue is swollen and moist with a white coating. d. __2__ Urination with burning sensation and sharp cramping pain unilateral in lower back descending to lower abdomen; blood tinged urine with minute gravel present; pulse is wiry and slightly rapid. 1. 2. 3. 4. 5. 6. 7. Gao Lin Tang Shi Wei San Shu Zao Yin Zi Ji Sheng Shen Qi Wan Wu Wei Xiao Du Yin / Ma Huang Lian Qiao Chi Xiao Dou Tang Ba Zheng San Chen Xiang San Impotence and Seminal Emissions Questions 16. List five herbs to consolidate essence to treat seminal emissions: fu pen zi, shan zhu yu, wu wei zi, tu si zi, sand piao xiao, yi zhi ren, bu gu zhi, sha yuan zi, lian zi, qian shi, jin ying zi, duan long gu, duan mu li 17. List five herbs to fortify yang, support male hormones, to treat impotence: lu rong, lu jiao jiao, yin yang huo, tu si zi, yi zhi ren, jiu zi, rou cong rong, suo yang, ge jie, hai ma, xian mao, ba ji tian, zi he che 18. Match the formula with the syndrome for impotence and seminal emissions. a. b. c. d. e. f. g. h. Impotence due to Liver Qi Stagnation __4__ Impotence due to Kidney Qi Deficiency __2__ Seminal Emissions due to Damp-Heat __8__ Impotence due to Damp-Heat __7__ Seminal Emissions due to Kidney Deficiency unable to Consolidate __5__ Impotence due to Heart and Spleen Deficiency __9__ Seminal Emissions due to Disharmony of Heart & Kidney __6__ Impotence due to Kidney Yang Deficiency __3__ 1. Zuo Gui Wan 2. Da Bu Yuan Jian 3. Zan Yu Dan 4. Xiao Yao San 5. Jin Suo Gu Jing Wan 6. Huang Lian Qing Xin Yin & San Cai Feng Sui Dan 7. Long Dan Xie Gan Tang 8. Cheng Shi Bi Xie Fen Qing Yin 9. Gui Pi Tang Depression and Abdominal Masses Questions 19. List five herbs specific for depression: he huan pi/hua, yu jin, chai hu, bo he, xiao mai/fu xiao mai, mei gui hua, lu e mei 20. List the five stagnations involved in depression according to Chinese medicine: qi, phlegm/damp, blood, food, fire/heat 21. For depression with plum pit qi sensation use which formula? a. Chai Hu Shu Gan San c. Gan Mai Da Zao Tang b. Ban Xia hou Po Tang d. Xue Fu Zhu Yu Tang 22. List five herbs used to invigorate blood to treat abdominal masses: san leng, e zhu, chuan xiong, bie jia, wang bu liu xing, chuan shan jia 23. A 27 yo man complains of depression for several months. He is easily upset, irritable, and agitated. He feels a sensation of chest constriction and generalized distending pain in his upper abdomen. He has a bitter taste in his mouth, constipation, red eyes and frequent headaches. His tongue is red with a yellow coat and his pulse is rapid and wiry. You choose which as the base formula? a. b. c. d. Xue Fu Zhu Yu Tang Tian Wang Bu Xin Dan Gui Pi Tang Jia Wei Xiao Yao San 24. Your modified formula is composed of: Chai hu Bo he Zhi zi Mu dan pi Yu jin Hu po Ju hua Da huang Dang gui Dan shen Tian ma Bai shao He huan pi Chuan lian zi 25. A 38 yo woman complains of abdominal fixed sharp focal pain in the lower left abdomen that has been increasing over the past three months and is worse at night. You can easily palpate a hardened mass, which has been diagnosed as a benign tumor that she has chosen to not have surgically removed. Her tongue has purple spots and her pulse is wiry and choppy. You choose which as the base formula? a. b. c. d. Ge Xia Zhu Yu Tang Ba Zhen Tang Liu Mo Tang Mu Xiang Shun Qi Wan 26. Your modified formula is composed of: Dang gui Chuan xiong Mu dan pi Chi shao Xiang fu Wu yao Bie jia Dan shen Tao ren Yan hu suo Zhi ke E zhu/San leng Hong hua Wu ling zhi Gan cao Wang bu liu xing