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Int.Med2.2_Bleeding
Question | Answer |
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What is the etiology/pathology of bleeding disorder? | 1. EPF (a.external evil qi; b. wind, heat, dryness evil qi injuring blood vessels in upper body; c. heat or damp-heat evil qi injuring blood vessels in lower body), 2. Emotional strain, 3. Improper diet, 4. Over-exhaustion, 5. Chronic illness or aftermat |
What are the MAJOR pathologies involved in Bleeding Disorder? | 1. Deficient qi fails to hold blood in vessels, 2. Heat (excess or empty) damages the blood-connecting channels causing the blood to become reckless, 3. Blood Stasis obstructs the blood-connecting channels preventing new blood from entering the channel |
When diagnosing a bleeding disorder, what are the crucial points to consider? | 1. Location, 2. Site (which organ is involved), 3. Nature (hot/cold, def/excess, acute/chronic, thick/watery, volume, color, agg/ameliorate) |
What is the general treatment principle for bleeding disorders? | Treat the underlying cause (fire, qi, blood) and stop bleeding |
What are the 4 patterns associated with Epistaxis? | Heat attacking the Lung, Vigorous Stomach Heat, Liver Fire Rising, Qi & Blood Deficiency |
When treating Epistaxis due to Heat attacking the Lung, what is the treatment principle? | Clear & drain Lu heat, cool blood, stop bleeding |
What is/are the preferred formulas for treating Epistaxis due to Heat attacking the Lung? | Sang Ju Yin |
When treating Epistaxis due to Vigorous Stomach Heat, what is the treatment principle? | Clear & drain St heat, cool blood, stop bleeding |
What is/are the preferred formulas for treating Epistaxis due to Vigorous Stomach Heat? | Ju Nu Jian |
When treating Epistaxis due to Liver Fire Rising, what is the treatment principle? | Clear & drain Lv heat, cool blood, stop bleeding |
What is/are the preferred formulas for treating Epistaxis due to Liver Fire Rising? | Long Dan Xie Gan Tang |
When treating Epistaxis due to Qi & Blood Deficiency, what is the treatment principle? | Tonify Qi & Blood, strengthen the Sp, stop bleeding |
What is/are the preferred formulas for treating Epistaxis due to Qi & Blood Deficiency? | Gui Pi Tang |
Which formulas/herbs may be used topically to stop bleeding? | Yu Nan Bai Yao, San Qi powder, Qing Dai (made from Da Qing Ye) |
When treating Gum Bleeding due to Vigorous Stomach Heat, what is the treatment principle? | Clear Stomach, drain fire, cool blood, stop bleeding |
What is/are the preferred formulas for treating Gum Bleeding due to Vigorous Stomach Heat? | Jia Wei Qing Wei San PLUS Xie Xin Tang |
When treating Gum Bleeding due to Yin Deficiency with Vigorous Fire, what is the treatment principle? | Nourish Yin, clear heat, cool the blood, stop bleeding |
What is/are the preferred formulas for treating Gum Bleeding due to Yin Deficiency with Vigorous Fire? | Liu Wei Di Huang Wan PLUS Qian Gen San |
When treating Gum Bleeding due to Qi & Blood Deficiency, what is the treatment principle? | tonify qi & blood |
What is/are the preferred formulas for treating Gum Bleeding due to Qi & Blood Deficiency? | Gui Pi Tang |
When treating Hemoptysis (coughing blood) due to Dryness and Heat injuring the Lung, what is the treatment principle? | clear heat, moisten the Lung, stop bleeding |
What is/are the preferred formulas for treating Hemoptysis due to Dryness and Heat injuring the Lung? | San Xing Tang |
When treating Hemoptysis (coughing blood) due to Liver Fire Invading the Lung, what is the treatment principle? | clear heat from the Liver & Lung, cool the blood, stop bleeding |
What is/are the preferred formulas for treating Hemoptysis due to Liver Fire Invading the Lung? | Xie Bai San PLUS Dai Ge San |
When there is chronic or recurrent coughing of blood due to Liver Fire invading the Lungs, what is the preferred formula? | Ke Xue Tang |
When treating Hemoptysis (coughing blood) due to Yin Deficiency with Heat in the Lung, what is the treatment principle? | nourish the yin, moisten the Lungs, cool blood, stop bleeding |
What is/are the preferred formulas for treating Hemoptysis due to Yin Deficiency with Heat in the Lung? | Bai He Gu Jin Tang (omit Jie Geng) |
What is the best formula for Hemoptysis due to severe and chronic Lu & Kd yin deficiency? | Yue Huan Wan |
List some herbs that cool blood and stop bleeding. | Bai Ji, Ou Jie, Bai Mao Gen, Qian Cao Gen |
When treating Hematemesis (vomiting blood) due to Excessive Stomach Heat, what is the treatment principle? | clear St heat, drain fire, cool the blood, stop bleeding |
What is/are the preferred formulas for treating Hematemesis (vomiting blood) due to Excessive Stomach Heat? | Xie Xin Tang PLUS Shi Hui San |
What are some ingredients that invigorate blood and dispel blood stasis so they can stop bleeding w/o causing blood stasis? | Da Ji, Xiao Ji, Qian Cao, Da Huang, Mu Dan Pi |
When treating Hematemesis (vomiting blood) due to Liver Fire Invading the Stomach, what is the treatment principle? | Drain the Lv (fire), clear the St, cool the blood, stop bleeding |
What is/are the preferred formulas for treating Hematemesis (vomiting blood) due to Liver Fire Invading the Stomach? | Long Dan Xie Gan Tang; add Shi Hui San or ingredients to cool the blood and stop bleeding |
When treating Hematemesis (vomiting blood) due to Spleen Qi Deficiency, what is the treatment principle? | strengthen the Sp, tonify qi & blood, stop bleeding |
What is/are the preferred formulas for treating Hematemesis (vomiting blood) due to Spleen Qi Deficiency? | Gui Pi Tang |
What is the preferred formulas for treating Hematemesis (vomiting blood) due to Spleen Qi Deficiency that has led to MW yang deficiency? | Gui Pi Tang PLUS Li Zhong Wan |
If severe vomiting of blood had led to qi desertion, what formula should be used to rescue the qi? | Du Shen Tang |
When treating Hematochezia (blood in the stool) due to Damp-Heat in the Intestine, what is the treatment principle? | clear heat, resolve dampness, cool blood, stop bleeding |
What is/are the preferred formulas for treating Hematemesis (vomiting blood) due to Damp-Heat in the Intestine? | Di Yu San OR Hai Hua San OR Huai Jiao Wan |
In cases of prolonged blood in the stool that injures yin and blood, what formulas may be used? | Qing Zang Tang OR Yu Nan Bai Yao |
When treating Hematochezia (blood in the stool) due to Spleen Qi Deficiency, what is the treatment principle? | strengthen Sp, stop bleeding |
What is/are the preferred formulas for treating Hematochezia (blood in the stool) due to Spleen Qi Deficiency? | Gui Pi Tang |
When treating Hematochezia (blood in the stool) due to Spleen and Stomach Yang Deficiency, what is the treatment principle? | strengthen Sp & St, warm the MW, nourish blood, stop bleeding |
What is/are the preferred formulas for treating Hematochezia (blood in the stool) due to Spleen and Stomach Yang Deficiency? | Huang Tu Tang |
When treating Hematuria (blood in the urine) due to Heat Accumulating in the Lower Burner, what is the treatment principle? | clear heat or heat-dampness, cool blood, stop bleeding, promote urination |
What is/are the preferred formulas for treating Hematuria (blood in the urine) due to Heat Accumulating in the Lower Burner? | Xiao Ji Yin Zi |
When treating Hematuria (blood in the urine) due to Kidney Yin Deficiency with Heat, what is the treatment principle? | nourish Kd yin, clear heat (empty & excess), cool blood, stop bleeding |
What is/are the preferred formulas for treating Hematuria (blood in the urine) due to Kidney Yin Deficiency with Heat? | Zhi Bai Di Huang Wan |
When treating Hematuria, what are some ingredients that may be used to cool the blood and stop bleeding? | Han Lian Cao, Da ji, Xiao Ji, Ou Jie, Pu Huang |
When treating Hematuria (blood in the urine) due to Kidney Qi deficiency, what is the treatment principle? | tonify Kd, strengthen retention, stop bleeding |
What is/are the preferred formulas for treating Hematuria (blood in the urine) due to Kidney Qi deficiency? | Wu Bi Shan Yao Wan |
What are some ingredients that restrain leakage of blood? | Duan Mu Li, Jin Ying Zi |
When treating Hematuria (blood in the urine) due to Spleen Qi Deficiency, what is the treatment principle? | tonify Sp Qi to control the blood and stop bleeding |
What is/are the preferred formulas for treating Hematuria (blood in the urine) due to Spleen Qi Deficiency? | Gui Pi Tang |
What are some ingredients that nourish the blood and stop bleeding? | E Jiao, Shu Di Huang, Xian He Cao, Huai Hua |
When treating Petechia or Purpura (subcutaneous bleeding) due to Blood-Heat, what is the treatment principle? | clear heat, resolve toxin, cool blood, stop bleeding |
What is/are the preferred formulas for treating Petechia or Purpura (subcutaneous bleeding) due to Blood-Heat? | Shi Hui San AND Xi Jiao Di Huang Tang |
When treating Petechia or Purpura (subcutaneous bleeding) due to Yin Deficiency with Vigorous Fire, what is the treatment principle? | nourish yin, clear fire, cool blood, stop bleeding |
What is/are the preferred formulas for treating Petechia or Purpura (subcutaneous bleeding) due to Yin Deficiency with Vigorous Fire? | Qian Gen San |
When treating Petechia or Purpura (subcutaneous bleeding) due to Spleen Qi Deficiency, what is the treatment principle? | tonify Sp to govern the blood and stop bleeding |
What is/are the preferred formulas for treating Petechia or Purpura (subcutaneous bleeding) due to Spleen Qi Deficiency? | Gui Pi Tang |
List some herbs that cool the blood and stop bleeding. | Bai Mao Gen, Di Yu, Da Ji, Hui Hua Mi |
List some herbs that contain the blood and stop bleeding. | Bai Ji, Ou Jie, Xian He Cao |
List some herbs that invigorate the blood and stop bleeding. | San Qi, Pu Huang, Qian Cao Gen |
List some herbs that warm the channels and stop bleeding. | Ai Ye, Pao Jiang |
List some herbs that direct the blood upward to help stop bleeding in the lower body.. | Huang Qi, Sheng Ma, Jie Geng |